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Georgia Affidavit for Amendment of a Death Certificate (Form 3977)

Official state formCorrections and amendmentsForm Form 3977Free downloadLast verified November 10, 2026

Notarized affidavit to amend a Georgia death certificate more than one year after the death. It goes to the State Office of Vital Records with the supporting documents the office requires for death corrections. The instructions printed on the form cover birth amendments only.

Who can use this form

  • The informant named on the death certificate must give a notarized statement approving the correction
  • A funeral director may request a correction with a statement on letterhead
  • The affidavit is signed before a notary public

What to send with it

  • Completed form, front and back, signed before a notary public
  • A notarized statement from the informant that names the decedent, the date and county of death and each item to correct. A funeral director may send a statement on letterhead instead
  • Documentary evidence for the item, as listed in the office's Death Correction Requirements sheet. Examples: the decedent's birth certificate or other legal document for a name, date of birth or parents' names
  • Cause, date or time of death: a statement from the certifier on official letterhead
  • Marital status: a certified divorce decree, death certificate or marriage license. Some changes, and removing a spouse's name, need a court order
  • Copy of a valid photo ID, and a U.S. money order or certified check payable to the State Office of Vital Records (no cash by mail)

Where to send it

Mail to
State Office of Vital Records 1680 Phoenix Blvd., Suite 100 Atlanta, GA 30349
State fee
$10.00 amendment fee, not refundable, which does not include copies. Certified copies are $25.00 and $5.00 for each additional copy bought at the same time.
Typical processing
Mail-in requests to the State Office are processed and shipped within 10 weeks, according to the office's order-by-mail page.
Form revision
REVISED 09/2018
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Georgia Affidavit for Amendment of a Death Certificate (Form 3977) | Georgia Form