West Virginia Affidavit to Correct Death Certificate
Official state formCorrections and amendmentsFree downloadLast verified November 10, 2026
Notarized affidavit to correct or add items on a West Virginia death certificate. It goes to the Corrections Unit of the Vital Registration Office.
Who can use this form
- The informant, the spouse, the funeral director or the physician (circle one on the form)
What to send with it
- Notarized affidavit
- At least two original documents (per the office's web page)
- $10 amendment fee (no fee within the first year after death)
Where to send it
- Mail to
- Attn: Corrections Unit Vital Registration Office PO Box 11012 Charleston, WV 25339-1012
- State fee
- $10.00 amendment fee (no fee for amendments within the first year after the event); each certified copy $12
- Typical processing
- Not provided
- Form revision
- Revised 04.15.2005
- Source
- Official government page