Maryland Request for Correction or Amendment to Death Certificate
Official state formCorrections and amendmentsFree downloadLast verified November 10, 2026
Request to correct or amend items on a Maryland death certificate. It is submitted to the Division of Vital Records or to the local health department where the original was registered. The form prints no mailing address.
Who can use this form
- Only the informant listed on the death certificate may make corrections
- A funeral service licensee signs item 22a
- The name and the date, time, place and cause of death can only be changed by the physician or medical examiner
What to send with it
- Completed form, signed under penalty of perjury
- Documentary evidence for each change; page 2 of the form lists examples
- $10 amendment fee
- A court order from the local circuit court if the death certificate is more than 3 years old
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- $10 amendment fee. The office's fees page lists no cost for corrections within the first year of the event.
- Typical processing
- About 10 weeks for corrections, according to the office's processing times page
- Source
- Official government page