Nevada Application for a Correction of a Death Record
Official state formCorrections and amendmentsFree downloadLast verified November 10, 2026
Three-page packet to correct a Nevada death or fetal death record: the application, the notarized Affidavit for Correction of a Record and the Supplemental Affidavit. It is mailed to the Office of Vital Records and Statistics, Attn: Corrections.
Who can use this form
- The affidavit is signed by a funeral director from the funeral home on the certificate, the informant, the medical certifier, or a coroner or medical examiner from the county listed on the death certificate
- Medical information, such as the date, time or cause of death, must be completed by the medical certifier or the coroner or medical examiner investigating the death
- The Supplemental Affidavit is completed by a different person who has personal knowledge of the correction
- Spouse information can only be changed with a court order
What to send with it
- Completed application (page 1)
- Notarized Affidavit for Correction of a Record, filled out completely
- Supplemental Affidavit from a different person. A court order may replace the affidavit and the supplemental affidavit
- Copy of the photo identification of the person signing the affidavit
- Payment payable to the Office of Vital Records. Do not send cash
Where to send it
- Mail to
- Office of Vital Records and Statistics Attn: Corrections 4150 Technology Way, Suite 104 Carson City, Nevada 89706
- State fee
- $45.00 per person of record, which includes the correction and one certified copy. Additional copies are $25.00 each if the death occurred in Clark, Carson, Douglas, Lyon, Mineral or Washoe counties, and $22.00 each for all other counties.
- Typical processing
- Not provided
- Source
- Official government page