This form is used for requesting a birth certificate

For Residential School Survivors and their family members reclaiming a name; and for Indigenous persons changing their name to a single name. In order to apply to waive ServiceOntario fees, submit this application with an application change an adult's and/or child's name and/or a request to amend a birth or marriage registration following a legal name change.

This Statutory Declaration is to be completed by Intended Parent(s) when certifying a birth using a surrogate.