California Affidavit to Amend a Death Record (VS 24)
Official state formCorrections and amendmentsForm VS 24Free downloadLast verified November 10, 2026
Affidavit signed by two people to correct or add information on a California death record, such as a typing error or information that was unknown at the time of death. The original form is mailed to the state vital records office.
Who can use this form
- Two people with personal knowledge of the facts must sign
- To change the date, time or cause of death, one signer must be the certifying or attending physician, the coroner or the medical examiner
What to send with it
- Original completed VS 24 in black ink. Photocopies are rejected
- Supporting documents are preferred, such as a photocopy of the decedent's or a parent's birth certificate, a marriage certificate or a divorce decree
- Optional photocopy of the death certificate
- Notarized sworn statement, only when asking for an authorized copy
- Fee by check or money order payable to CDPH Vital Records
Where to send it
- Mail to
- California Department of Public Health Vital Records - Amendments - MS 5105 P.O. Box 997410 Sacramento, CA 95899-7410
- State fee
- The form (Rev. 04/20) prints no fee amount. The office's current pamphlet (01/2026) lists: within 1 year of death, no fee to register and $26 per certified copy; one year or more, $26 including one certified copy, and $26 for each additional copy.
- Typical processing
- The form does not state a time. The office's processing times page lists an average of 7 to 9 weeks for amendments.
- Form revision
- REV. 04/20
- Source
- Official government page