District of Columbia Amendment to Death Record (Court Order)
Official state formCorrections and amendmentsFree downloadLast verified November 10, 2026
Use this form to amend a DC death record based on a court order. It goes to the DC Health Vital Records Division, not to the court. The printed title matches the plain death amendment form.
Who can use this form
- Legal next of kin
- The informant
- A funeral director
- Anyone else needs a DC Superior Court order naming them as entitled
What to send with it
- Completed form (it has no notary block)
- The court order
- Identity documents
- Payment, which is requested after the form is approved
Where to send it
- Mail to
- DC Health Vital Records Division Customer Service and Certification Operations Unit 2201 Shannon Pl. SE, 1st Floor Washington, DC 20020
- State fee
- $23 amendment fee + $18 per certificate copy (printed on the form)
- Typical processing
- Not provided
- Form revision
- Revised 12/02/2020
- Source
- Official government page