California Department of Public Health - Vital Records · California state form
VS 24 Death Record Amendment Affidavit
Use form VS 24 to request corrections or additions to a California death record, including typographical errors, previously unknown information, or an AKA.
- What this form is
- Form VS 24 is used to request an amendment to a California death record. It covers most typographical or spelling errors, adding information that was unknown at the time of death, and adding an AKA for the deceased. Two people with knowledge of the facts must complete and sign the affidavit section. A notarized affidavit is required when requesting an authorized certified copy of the amended certificate.
- Who needs it
- People requesting a correction or addition to a California death record, including authorized applicants seeking an authorized certified copy of the amended certificate.
- Why it needs a notary
- A notarized affidavit is required to request an authorized certified copy. The applicant must sign before a notary; this can be done online with a commissioned online notary.
- How to submit it
- Complete the form in black ink and mail it with applicable fees and supporting documents to California Department of Public Health, Vital Records – Amendments – M.S. 5105, P.O. Box 997410, Sacramento, CA 95899-7410.
Questions
What is California form VS 24 used for?
Form VS 24 requests amendments to a death record, including most typographical or spelling corrections, adding information that was unknown at the time of death, or adding an AKA for the deceased.
Is a notary needed for form VS 24?
A notarized affidavit is required if you are requesting an authorized certified copy of the amended certificate. The applicant must sign before a notary; online notarization is available with a commissioned online notary.
How do I submit form VS 24?
Mail the completed form, applicable fees, and supporting documents to California Department of Public Health, Vital Records – Amendments – M.S. 5105, P.O. Box 997410, Sacramento, CA 95899-7410.