North Carolina Death Certificate Amendment Application (DHHS 3937)
Official state formCorrections and amendmentsForm DHHS 3937Free downloadLast verified November 10, 2026
Sworn, notarized one-page application that lists the items in error on a North Carolina death certificate and how each should read. It goes to N.C. Vital Records.
Who can use this form
- The spouse listed on the death certificate.
- The decedent's brother or sister, child or stepchild, parent or stepparent.
- A legal representative, or a person whose personal or property rights would be determined or protected by access to the death certificate.
- This list comes from the office's companion requirements document, not the form itself.
- Applicants who cannot supply the required evidence or proof of identity must get a court order.
What to send with it
- The completed application, signed and sworn before a notary public or Register of Deeds.
- A photocopy of ID as described in the office's Death Certificate Modification Applicant Identification Requirements document.
- Documentary evidence for each field being changed, as undamaged valid originals or certified copies. Photocopies are not accepted.
- Payment of $39, as listed on the office's Change a Record page.
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- The form does not print a fee. The office's Change a Record page lists a $24 non-refundable search fee plus a $15 amendment processing fee, $39 in total.
- Typical processing
- The office's Change a Record page says death amendment requests are to be processed within 30 calendar days after the completed, notarized application, evidence and verified payment are received.
- Form revision
- Revised 08/2019
- Source
- Official government page