You must be the person named on the certificate and at least 18 years old, or a parent or legal guardian of the person named on the certificate if the person is younger than 18 years old.
Photo ID: You must submit a current (not expired) and signed photo identification.
Both parents: If the names of both parents are on the record, both must sign the application and submit copies of their identification (ID).
Documents: You must send original documentation on letterhead or certified copies. Notarized copies, photocopies or altered documents are not accepted.
Mistakes: A form with text that is crossed out or with Wite-Out on it cannot be accepted. If you make a mistake, use a new application form.
| Question | Answer |
|---|---|
| Form Name | Form VR 172 |
| Form Length | 9 pages |
| Fillable? | Yes |
| Fillable fields | 67 |
| Avg. time to fill out | 12 min |
| Edition | 6/22 |
| Where to send | NYC Department of Health and Mental Hygiene, Corrections Unit, 125 Worth Street, CN-4, Room 144, New York, NY 10013 |
| Matches the agency's file | Yes, checked October 1, 2026 |
| Other names | VR 172, VR172, VR-172, NYC VR 172, Application for the Correction of a NYC Birth Certificate |
| Official source | Form VR 172 (Rev 6/22), NYC Department of Health and Mental Hygiene |
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