[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-173164-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-173164-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","new-jersey-department-of-health-reg-15-form-instructions","New Jersey Department of Health - REG-15 Form Instructions","","Instructions for completing the New Jersey Office of Vital Statistics and Registry REG-15 application to amend vital records. Part 1 details what documentary proof is required for birth, death, and relationship-status amendments, including rules on acceptable evidence and limits on certain changes (e.g., adding a father). Part 2 explains requirements for ordering a certified copy of an amended record, acceptable identification, proof of relationship, and applicable search and copy fees.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/new-jersey-department-of-health-reg-15-form-instructions/173164/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/new-jersey-department-of-health-reg-15-form-instructions/173164.png","ImageObject",442,249,{"name":42,"@type":43},"Caleb Sterling","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-23","2026-09-01",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",7,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What documentary proof is required for amending a birth record in REG-15?","Question",{"text":63,"@type":64},"The application must include documentary proof showing the full name and date of birth. Proof examples include birth/marriage/divorce records, court orders, naturalization or name change certificates, hospital/medical records, and other listed documents. A driver’s license, Social Security card, or decorative birth certificate cannot be used.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Who may request changes to a birth record using REG-15?",{"text":68,"@type":64},"Parents, a legal guardian (when the child is under 18), or the named individual (when 18 or older) may request a change, and other persons may request changes with supporting documents.",{"name":70,"@type":61,"acceptedAnswer":71},"What are the fees and identification requirements for requesting a certified copy of an amended record?",{"text":72,"@type":64},"The fee for the search and resulting record is $25, and additional copies ordered at the same time are $2 each. Part 2 requires an acceptable photo ID or alternate forms of ID showing the current address, plus proof of relationship to the individual named on the record.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},173164,1788300638,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":80,"read_time":22},962084925290,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","New Jersey Department of Health\nOffice of Vital Statistics and Registry\nINSTRUCTIONS FOR COMPLETING THE REG-15 FORM\n(For more information, go to: \u0013 HYPERLINK \"http://www.nj.gov/health/vital/correcting-vital/\" \u0014http://www.nj.gov/health/vital/correcting-vital/\u0015.)\nPART 1 – APPLICATION TO AMEND A NEW JERSEY VITAL RECORD\nThe required copy of documentary proof must be submitted with the application and must include the full name and date of birth.\nExamples of proof include:\n( Birth/Marriage/Divorce Record\n( School Admission Record\n( Court Order\n( Certificate of Naturalization/ Petition of Name Change\n( Baptismal Record\n( Hospital/Medical Record\n( Child Immunization Record\nNOTE:  A Driver’s License, Social Security card, or a hospital-issued, decorative birth certificate cannot be used as proof.\nBIRTH RECORDS AMENDMENTS:\nA parent(s), legal guardian (if the child is under 18 years of age), or the named individual (if 18 years of age or older) may request to change the birth record, or any other person with the supporting document can request changes.\nThe item(s) of documentary proof must match the asserted facts.  For example, if the affidavit says the name should be Mary Ann Doe, the proof must show the name to be Mary Ann Doe.\nIf legal guardian(s) request the change, include certified court order proving guardianship.\nIndividuals born prior to 1/1/1993 must provide a certified court order for legal name change amendment.\nNo proof is required to change the first or middle name, if the request is made prior to the child’s 7th birthday.  Individuals born on 1/1/1993 or later can submit acceptable, verifiable documentary proof to amend the surname.\nTo correct information on the parent(s), the parent’s birth certificate or marriage certificate is required as documentary proof.\nTo correct the sex field due to recording error, documentary proof from a medical provider, or the child’s delivery record is required.\nNOTE:\tThis application form cannot be used to add a father to a birth record.  The Certificate of Parentage form must be used.\nDEATH RECORD AMENDMENTS:\nNon-Medical Corrections – All other individuals requesting an amendment must supply documentary proof.\nMedical Corrections – The authority to amend the date, place of death or medical information is restricted to the physician who signed the death certificate or the Medical Examiner; except that the funeral director may amend the location of death in the case of a home death.\nDomestic Status Corrections – Amendments to the domestic status on the death record, that are not due to a funeral director typographical error will require documentary proof and require the State office to permit the Informant a minimum of 30 days to provide documentation supporting the information initially reported before the requested amendment can be accepted.\nMARRIAGE / REMARRIAGE / CIVIL UNION / REAFFIRMATION OF CIVIL UNION / DOMESTIC PARTNERSHIP RECORD AMENDMENTS:\nChanges to personal facts, such as minor spelling changes in name, date or place of birth, or residence, may be requested by the person with documentary proof.\nPART 2 – APPLICATION FOR A CERTIFIED COPY OF AMENDED RECORD\n1  Valid photo driver’s license or photo non-driver’s license with current address OR valid driver’s license without photo and an alternate form of ID with current address OR two (2) alternate forms of ID, one of which must show the current address.  Alternate forms of ID are: vehicle registration, vehicle insurance card, voter registration, US/foreign passport, permanent resident card (green card), Immigrant Visa, Federal/State ID, county ID, school ID, utility bill (within the previous 90 days), bank statement (within previous 90 days) or W-2/tax return for current or previous year.\n2  The fee for the search and resulting record is $25; additional copies of the same record ordered at the same time are $2 each.  Make check or money order payable to “Treasurer, State of NJ.”  Do NOT mail CASH!!!\nInstructions:  Complete Part 1 i","cbCailgyiWNTgmPP","https://ap.wps.com/l/cbCailgyiWNTgmPP","docx",31968,"English","# INSTRUCTIONS FOR COMPLETING THE REG-15 FORM\n## PART 1 – APPLICATION TO AMEND A NEW JERSEY VITAL RECORD\n## PART 2 – APPLICATION FOR A CERTIFIED COPY OF AMENDED RECORD","[{\"question\":\"What documentary proof is required for amending a birth record in REG-15?\",\"answer\":\"The application must include documentary proof showing the full name and date of birth. Proof examples include birth/marriage/divorce records, court orders, naturalization or name change certificates, hospital/medical records, and other listed documents. A driver’s license, Social Security card, or decorative birth certificate cannot be used.\"},{\"question\":\"Who may request changes to a birth record using REG-15?\",\"answer\":\"Parents, a legal guardian (when the child is under 18), or the named individual (when 18 or older) may request a change, and other persons may request changes with supporting documents.\"},{\"question\":\"What are the fees and identification requirements for requesting a certified copy of an amended record?\",\"answer\":\"The fee for the search and resulting record is $25, and additional copies ordered at the same time are $2 each. Part 2 requires an acceptable photo ID or alternate forms of ID showing the current address, plus proof of relationship to the individual named on the record.\"}]","New Jersey Department of Health - REG-15 Form Instructions | DOCX"]