We would like to show you a description here but the site won’t allow us. REQUEST FOR CORRECTION OF EARNINGS RECORD. Page 1 Form Approved OMB No. 0960-0029. I have examined your statement (or record) of my Social Security earnings and it is not correct. I am providing the following information and accompanying evidence so that you can correct my record. 1. Print your name (First Name, Middle Initial, Last Name) 2. Check on a patient's medical record status here. For large volume medical record requests, use Ciox eDelivery or Smart Request. Find out more here. Birth Record Online Request. Our office records and maintains birth records in Los Angeles County since 1866. If the birth occurred outside of L.A. County or California click here.. Online birth record requests are processed through VitalChek Network, Inc. VitalChek is the only authorized third party vendor the RRCC does business with.