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
- Source
- Official government page