Nebraska Death Certificate Amendment Application (HHS-93)
Official state formCorrections and amendmentsForm HHS-93Free downloadLast verified November 10, 2026
Application to correct items on a filed Nebraska death certificate. The medical certification can be corrected only by the certifier. Mail it to the Nebraska Vital Records office.
Who can use this form
- Next of kin
- Funeral director
What to send with it
- Notarized application
- Documentary evidence: 1 item within the first year, 2 or more after (originals or certified copies; no affidavits of personal recollection). An SSN card may correct the SSN only
- Photocopy of the applicant's current photo ID
- Exact fee and a stamped self-addressed business-size envelope
Where to send it
- Mail to
- Vital Records Office P.O. Box 95065 Lincoln, NE 68509-5065
- State fee
- $16.00 to correct the record; $16.00 per certified copy of the amended record
- Typical processing
- Not provided
- Form revision
- 6/21
- Source
- Official government page