New Jersey Application to Amend a Death Record (REG-15)
Official state formCorrections and amendmentsForm REG-15Free downloadLast verified November 10, 2026
Mail-in request to change or correct a New Jersey death record. Part 2 of the form orders a certified copy of the amended record. It is mailed to the Vital Record Modifications Unit of the New Jersey Department of Health in Trenton.
Who can use this form
- Non-medical corrections: a person who supplies documentary proof
- The date, place of death or medical information can be amended only by the physician who signed the death certificate or the Medical Examiner
- A funeral director may amend the location of death in the case of a home death
What to send with it
- The completed REG-15 (Part 1, and Part 2 if you want a certified copy)
- A copy of documentary proof that supports the correction
- For a change to the domestic status: documentary proof. The form says the office gives the informant at least 30 days to support what was first reported
- For Part 2: valid ID and proof of your relationship to the person on the record
- A check or money order payable to "Treasurer, State of NJ". Do not mail cash
Where to send it
- Mail to
- New Jersey Department of Health Vital Statistics and Registry Attention: Vital Record Modifications Unit P.O. Box 370 Trenton, NJ 08625-0370
- State fee
- The form prints a $2 processing fee for a legal name change or an adoption. A certified copy of the amended record is $25 for the first copy and $2 for each additional copy. No fee is printed for other corrections. Payable to "Treasurer, State of NJ".
- Typical processing
- Not provided
- Form revision
- FEB 19
- Source
- Official government page