Kentucky Supplemental Report of Death (VS-33)

Who can use this form

• The form lists three requestor types: Funeral Director, Medical Certifier and Informant.
• The funeral director or medical certifier signs the form.
• An informant's request must be notarized. A valid photo ID is required for notarization.
• After a death certificate has been on file for five years, changes can be made only by court order.

What to send with it

• The completed form listing each item to correct, the error as shown now and the correction requested.
• The supporting evidence, named in the Evidence Submitted section and attached to the form. Requests without acceptable evidence are not processed.
• Accepted evidence includes medical records, certified vital records, court orders, government-issued ID, Social Security or other federal records, military records and funeral home records.
• A certified translation of any evidence that is not in English.
• Optional: a certified copy of the death record issued within the past year, to receive a corrected copy without further charge, or the required fee for each certificate requested.

Where to send it

Mail to

Office of Vital Statistics 275 East Main Street 1E-A Frankfort KY 40621

State fee

The form states no amendment fee. A corrected copy is issued without further charge if a certified copy issued within the past year is returned; otherwise the required fee applies for each certificate requested (the form does not print the amount).

Typical processing

Not provided

Form revision

Rev. 1.2026

Source

Official government page