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Minnesota Death Record Amendment Packet

Official state formCorrections and amendmentsFree downloadLast verified November 12, 2026

Instructions and request form for adding or changing information on a Minnesota death record. It lists accepted supporting documents. Mail it, signed before a notary, to the Minnesota Department of Health, Office of Vital Records.

Who can use this form

  • The form has a box for a death within the last five years, with documents sent to support the change.
  • A box for a death more than five years ago, also with documents.
  • A box for the informant named on the death record, when the death was within the last year.
  • Changes to cause or manner of death go through the medical certifier named on the certificate.

What to send with it

  • The completed Death Record Amendment Request, signed in front of a notary public.
  • At least one supporting document, such as a certified marriage or birth certificate, a divorce decree, or a certified court order.
  • Payment, not cash.
  • Original documents are returned when processing ends.

Where to send it

Mail to
Minnesota Department of Health Office of Vital Records Mail: PO Box 64499, St. Paul, MN 55164-0499 Courier/express delivery: 625 Robert St. N, St. Paul, MN 55155 (no vital-records counter service at this location)
State fee
$40 administrative review and processing fee, non-refundable. Faster processing is $20 and express delivery is $21. A new death certificate is not included. As printed on the form.
Typical processing
Not provided
Form revision
01/2024
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Minnesota Death Record Amendment Packet | Free PDF