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BMD-001Mandatory

Petition to Establish Fact, Time, and Place of Birth

California · Judicial Council of California · Effective September 1, 2018

This form is used to ask the court to issue an official order that confirms the real fact, date, and location of a person's birth when no official record exists or cannot be obtained.

The court describes it as: Ask the court for a decision (order) establishing the fact, date, and place of a birth when no record of the birth was made before or you cannot get a record of the birth.

Open the official PDFfrom Judicial Council of California

Where this fits in a case

Start a case

Stage: Start a case

This form is used when someone needs the court to officially confirm the details of a birth because the birth record is missing or cannot be retrieved.

Usually filed by the person starting the case.

Common questions

What does this form ask the court for?
It asks the court to make an order that officially establishes the fact, time, and place of a birth for a specific person.
What other forms are mentioned?
The form mentions that the court order should be prepared on form VS 108, and that a supporting declaration is on form BMD-001A.
Do I need to file this form with other documents?
Yes, the notice advises that at the hearing, you must provide a completed order for the judicial officer to sign, and you must submit the birth certificate to the CDPH Vital Records.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect September 1, 2018.

Related forms

  • BMD-001A

    Declaration in Support of Petition to Establish Fact, Time, and Place of Birth

    This form is a written statement, sworn under penalty of perjury, that provides facts to support a request to the court to officially set a person's birth date, time, and place. It asks the person making the statement to provide details about the birth and list supporting documents.

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  • BMD-002

    Petition to Establish Fact, Time, and Place of Marriage

    This form is used to ask the court to issue an official order that confirms the fact, date, and place of a marriage when there is no official record available or when a record cannot be obtained.

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  • BMD-002A

    Declaration in Support of Petition to Establish Fact, Time, and Place of Marriage

    This form is a written statement, sworn under penalty of perjury, that provides facts to support a request to the court to officially establish the date and place of a marriage. It asks the person making the statement to provide details about the marriage and attach supporting documents.

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  • BMD-003

    Petition to Establish Fact, Date, and Place of Death

    This form is used to ask the court to make an official order that confirms the fact, date, and place of a death when there is no official record or when a record cannot be obtained. It asks the petitioner to provide details about the person who died and the circumstances of the death.

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  • BMD-003A

    Declaration in Support of Petition to Establish Fact, Date, and Place of Death

    This form is a written statement, sworn under penalty of perjury, that provides facts to support a request to the court to officially set the date, time, and place of a death. It asks the person making the statement to declare what they know about the death and what supporting documents they are attaching.

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  • FL-100

    Petition—Marriage/Domestic Partnership (Family Law)

    This form is used to start a case asking the court to end a marriage, domestic partnership, or to legally separate. It asks the filer to state the facts about the relationship and what orders they want the court to make.

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  • FL-110

    Summons

    This form is a Summons that officially tells someone that a court case has started in family law. It informs the person they have 30 days to file a Response with the court.

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  • FL-115

    Proof of Service of Summons (Family Law-Uniform Parentage-Custody and Support)

    This form is used to tell the court that you officially gave copies of legal papers to your spouse or domestic partner. It asks for details about when, where, and how the papers were delivered.

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