INSTRUCTIONS: APPLICATION TO CHANGE AN ALABAMA BIRTH OR DEATH CERTIFICATE (Form ADPH-HS-33)

To change information on an Alabama birth or death certificate, file the application discussed in this article. Known as form ADPH-HS-33, this document can be obtained from the website maintained by the Alabama Department of Public Health.

Application To Change An Alabama Birth Or Death Certificate ADPH-HS-33 Step 1: The first section concerns changes to birth certificates. Check "Birth" if applicable.

Application To Change An Alabama Birth Or Death Certificate ADPH-HS-33 Step 2: Enter the number of copies requested on the first blank line.

Application To Change An Alabama Birth Or Death Certificate ADPH-HS-33 Step 3: Enter the child's full name at birth on the second blank line.

Application To Change An Alabama Birth Or Death Certificate ADPH-HS-33 Step 4: Enter the child's date of birth on the third blank line.

Application To Change An Alabama Birth Or Death Certificate ADPH-HS-33 Step 5: Enter the child's country of birth on the fourth blank line.

Application To Change An Alabama Birth Or Death Certificate ADPH-HS-33 Step 6: Enter the hospital of birth on the fifth blank line.

Application To Change An Alabama Birth Or Death Certificate ADPH-HS-33 Step 7: Enter the father's full name on the sixth blank line.

Application To Change An Alabama Birth Or Death Certificate ADPH-HS-33 Step 8: Enter the mother's full maiden name on the seventh blank line.

Application To Change An Alabama Birth Or Death Certificate ADPH-HS-33 Step 9: On the eighth blank line, write the changes you are requesting.

Application To Change An Alabama Birth Or Death Certificate ADPH-HS-33 Step 10: The next section concerns changes to death certificates. Check the box next to "Death" if applicable.

Application To Change An Alabama Birth Or Death Certificate ADPH-HS-33 Step 11: Enter the number of copies requested on the first blank line.

Application To Change An Alabama Birth Or Death Certificate ADPH-HS-33 Step 12: Provide all information requested about the deceased and the changes you are requesting.

Application To Change An Alabama Birth Or Death Certificate ADPH-HS-33 Step 13: The last section concerns the applicant. Sign and print your name on the first two blank lines.

Application To Change An Alabama Birth Or Death Certificate ADPH-HS-33 Step 14: Provide all other information requested in this section and mail the form to the address given at the top of the page.