An Excessive Heat Warning is in effect from 6/25/2015 9:00 AM to 6/27/2015 9:00 PM PDT for Mohave County. Learn more about how to stay safe in extreme heat and stay informed about future heat alerts.

Office of Vital Records

Correct or Amend a Death Certificate

Amendments

The Arizona Department of Health Services Office of Vital Records no longer provides same day walk in customer service for death corrections or amendments.

  • Requests to amend death certificates for deaths that occurred prior to 2008, submit your request to the State Office of Vital Records, Attention: Death Registry, Post Office Box 3887, Phoenix, Arizona 85030 or you may call 602-364-2428 to schedule an appointment.
  • Requests to amend death certificates for deaths that occurred in 2008 to the present year, please submit your request to your local county health department’s Office of Vital Records. Most county offices provide walk in customer service.

Arizona Revised Statute § 36-323, Arizona Administrative Code R9-19-114-R9-19-118, and R9-19-310 and 311 permits corrections and amendments death certificates.

Amendments to medical information including fields related to the manner of death and cause of death, may only be amended by a medical certifier or medical examiner. Requests to amend a death certificate may be submitted by the informant, a surving spouse, parent or other close relative. A close relative is limited to the decedent’s sister, brother, son or daughter. The following fields on the death certificate may be amended:

  • Decedent’s name
  • Social Security Number
  • Date of Birth
  • Age
  • Birthplace
  • Marital Status
  • Name of Surviving Spouse
  • Decedent’s Usual Residence Street Address
  • Ever in the Armed Forces
  • Hispanic Origin
  • Race and Tribal Affiliation
  • Occupation
  • Father’s/Mother’s Name
  • Informant’s Name—only if a typographical error by funeral home or family is located to provide required information for the death certificate (Public Fiduciary cases).
  • Informant’s mailing address
  • Relationship to Decedent

The following is required to amend the death certificate:

  1. The Affidavit to Correct or Amend a Death Certificate must be completed and the form must be signed in the presence of a notary.
  2. Evidentiary documents that support the change(s) requested on the affidavit.
  3. A completed and signed Arizona Vital Records Request for Copy of Death Certificate application
  4. A photo copy of the applicant’s valid, government-issued identification (i.e., driver’s license, please copy the front and back of the ID) or the application referenced in #2 above must be signed in the presence of a notary.
  5. The amendment fee. Please reference the fee schedule for the appropriate fee.

To correct/amend the decedent’s name, date of birth or place of birth a document such as an original, certified copy of a birth certificate or court order that supports the change requested.

To correct/amend the decedent’s social security number, a document such as the original social security card or other official document from the Social Security Administration, income tax records or W-2 forms, etc. that supports the change requested.

To correct/amend the decedent’s parent or parent’s name(s), a document such as an original, certified birth certificate of the decedent or a certified copy of the parent’s birth certificate shall be submitted.

To amend the decedent’s marital status – An original, certified marriage certificate or a certified divorce decree is required. Note: additional documentation may be requested to verify and support this request.

To amend the spouse’s name – the document required depends on the scenario:

  • To add a spouse to a death certificate, an original, certified marriage certificate shall be provided.
  • To remove a spouse’s name from a death certificate, a divorce decree or other proof from the county’s marriage and licensing department is required.

Note additional documentation may be requested to verify and support the request.

“Other Changes” Field - this field may be used to specify other requested amendments on the death certificate such as age, decedent’s address, informant’s name, armed forces information, Hispanic origin, race, funeral facility information, etc., often used more extensively in the cases of unidentified bodies or Public Fiduciary cases when the decedent is identified. Please specify the field name or number you want to amend in the Data field column on the affidavit.

Please note: Arizona Administrative Code R9-19-311 requires the Office of Vital Records to provide notification of request for amendment of information on a death certificate to the individual (informant) who provided the information about the decedent. The local registrar, deputy local registrar, or the state registrar may request evidentiary documents from the person submitting the request and the person who provided information about the decedent to determine the validity and accuracy of the requested amendment and the information on the death certificate. The informant has 10 calendar days from the date the notice is mailed to respond. If the Office of Vital Records does not receive a response from the informant in the proscribed time, or the informant responds favorably, the amendment will be made to the death certificate. If the informant responds unfavorably, or disputes the claim, no change will be made to the death certificate until additional documentary evidence is provided. In these cases, the State Registrar will determine the sufficiency of the evidence provided.

Court Ordered/Judicial Amendments

Judicial changes require a certified copy of the judgment, court order or other legal instrument and any additional documents or information necessary to accomplish the desired changes.

  • Any changes to death certificates of the following nature shall be judicial changes:
    • Amendment of a standard death certificate based on a declaration of death by a court of competent jurisdiction; or
    • Amendment of the medical cause or the manner and circumstances of death based on the final determination of a court or a formal inquest.

Corrections

All other changes of data, including all minor errors of spelling, typographical errors and transposed letters, shall be considered a correction.

Corrections require an affidavit from the person requesting the change an evidentiary document supporting the change(s) requested on the affidavit, and any other evidence the State Registrar shall deem necessary to establish the validity of the requested change.

The following is required to correct the death certificate:

  1. The Affidavit to Correct or Amend a Death Certificate must be completed and the form must be signed in the presence of a notary.
  2. Evidentiary documents that support the changes requested on the affidavit.
  3. A completed and signed Arizona Vital Records Request for Copy of Death Certificate application
  4. A photo copy of the applicant’s valid, government-issued identification (i.e., driver’s license, please copy the front and back of the ID) or the application referenced in #2 above must be signed in the presence of a notary.
  5. The amendment fee. Please reference the fee schedule for the appropriate fee.