Georgia Affidavit for Current Year Correction of a Death Certificate
Official state formCorrections and amendmentsFree downloadLast verified November 10, 2026
Notarized affidavit to correct a Georgia death record within one year of the death. It goes to the State Office of Vital Records with the supporting documents the office requires for death corrections.
Who can use this form
- The person completing the affidavit states their relationship to the person on the record (daughter, son, funeral director and so on)
- The informant named on the death certificate must give a notarized statement approving the correction
- A funeral director may request a correction with a statement on letterhead
What to send with it
- Completed affidavit, signed and acknowledged by a notary public
- A notarized statement from the informant that names the decedent, the date and county of death and each item to correct. A funeral director may send a statement on letterhead instead
- Documentary evidence for the item, as listed in the office's Death Correction Requirements sheet. Examples: the decedent's birth certificate or other legal document for a name, date of birth or parents' names
- Cause, date or time of death: a statement from the certifier on official letterhead
- Marital status: a certified divorce decree, death certificate or marriage license. Some changes, and removing a spouse's name, need a court order
Where to send it
- Mail to
- State Office of Vital Records 1680 Phoenix Blvd., Suite 100 Atlanta, GA 30349
- State fee
- No fee is printed on the form. The office's fee page lists current year corrections as free.
- Typical processing
- Not provided
- Form revision
- REVISED 07/2017
- Source
- Official government page