Arizona Affidavit to Correct or Amend a Death Certificate (VS-42)
Official state formCorrections and amendmentsForm VS-42Free downloadLast verified November 10, 2026
Notarized affidavit that shows the information as the Arizona death or fetal death record reads now and the correction or amendment wanted. It goes to the Bureau of Vital Records or to a county vital records office, depending on the year of death.
Who can use this form
- The person signing states their relationship to the decedent on the affidavit.
- The office's web page says corrections can be requested by the person responsible for final disposition or by the informant.
- The web page also allows a person to request an amendment of demographic and final disposition information.
- The manner or cause of death can be changed only by a medical certifier.
What to send with it
- The affidavit, signed before a notary. Any alteration makes the affidavit invalid.
- A supporting document for each item: a certified birth certificate or court order, a Social Security card, or a certified marriage certificate or divorce decree, depending on the change.
- The office's web page also asks for the Request for Copy of Death Certificate (VS-159), a copy of the front and back of an ID or a notarized signature, evidence of relationship, the fee and a self-addressed stamped envelope.
- The affidavit prints no address. The office's web page says deaths before 2008 go to the Bureau of Vital Records, Post Office Box 6018, Phoenix, Arizona 85005, and deaths from 2008 to the present go to the county office.
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- $30.00 to amend or correct information in a registered death record (also $30.00 for a fetal death record), according to the office's fee schedule. The affidavit itself prints no fee.
- Typical processing
- Not provided
- Form revision
- Revised 04/06/2026
- Source
- Official government page