NorthCarolinaOfficeofVitalRecords
DeathCertificateAmendmentProofRequirements
DeathCertificateFieldModification
RequiredProofs
Allproofsmustbeundamaged,validoriginalsorcertifiedcopies.
Photocopieswillnotbeaccepted.
AmendingaMinorSpellingError*inan yname(s)for
theDecedent
Birthcertificateofdecedent(outofstate/countrymustbe
certified);OR
*Minorspellingerrorsincludeerrorsaffecting12
lettersofagivennamewheretheamendment
doesnotconstitutealegalnamechange
CertificateofNaturalizationforforeignbirths;OR
•Ceredcopyofmarriagelicense/cercateofdecedent(outof
state/countrymustalsobecertified);OR
•Ceredcopyofchild’sbirthcercatewithdecedent's
information;OR
FormI94forrefugees;OR
Governmentissueddrivingcredentialoridentificationcard(e.g.,
NCDMVdriverslicense,etc.);OR
Passportofdecedent;OR
SocialSecurityNumidentReportfordecedent;OR
Courtorderreflectingtheinformation
requestedtobeamended
LegalNameChangefortheDecedent
Courtorderreflectingtheinformationrequestedtobeamended
DecedentAlias/ AKA
Signed/notarizedstatementfromtheinformant
DecedentBirthplace Certifiedcopyofbirthcertificateofdecedent;OR
CertificateofNaturalizationforforeignbirths;OR
•Ceredcopyofmarriagelicense/cercateofdecedent(outof
state/countrymustalsobecertified);OR
•Ceredcopyofchild’sbirthcercatewithdecedent's
information;OR
FormI94forrefugees;OR
Courtorderreflectingtheinformationrequestedtobeamended
**Iftherequirementforproofisabirthcertificateandtheperson
wasborninNCthenNCOVRwillsearchas
acourtesy**
MaidenName
Certifiedcopyoforiginal,unamendedbirthcertificateof
decedent;OR
CertificateofNaturalizationforforeignbirths;OR
•Ceredcopyofmarriagelicense/cercateofdecedent(outof
state/countrymustalsobecertified);OR
•Ceredcopyofchild’sbirthcercatewithdecedent's
information;OR
FormI94forrefugees;OR
Updated09/2022
NorthCarolinaOfficeofVitalRecords
DeathCertificateAmendmentProofRequirements
DeathCertificateFieldModification
RequiredProofs
Courtorderreflectingtheinformationrequestedtobeamended
Sex Certifiedcopyofbirthcertificateofdecedent;OR
Governmentissueddrivingcredentialoridentificationcard(e.g.,
NCDMVdriverslicense,etc.);OR
CertificateofNaturalizationforforeignbirths;OR
FormI94forrefugees;OR
Passportofdecedent;
OR
Courtorderreflectingtheinformationrequestedtobeamended
Age&DateofBirth Certifiedcopyofbirthcertificateofdecedent;OR
CertificateofNaturalizationforforeignbirths;OR
FormI94forrefugees;OR
Passportofdecedent;OR
SocialSecurityNumidentReportfordecedent;OR
Courtorderreflectingtheinformationrequestedtobeamended
DateofDeath
Signedstatementfromthemedicalcertifierorthemedical
examinerwhosignedthedecedent'sdeathcertificate.Ifthe
certifierisunavailable,thestatementmaybesignedbythe
certifier'sauthorizedmedicalassociateorthechiefmedicalofficer
for
thecertifier'sfacility;OR
Courtorderreflectingtheinformationrequestedtobeamended
TimeofDeath
Signedstatementfromthemedicalcertifierorthemedical
examinerwhosignedthedecedent'sdeathcertificate.Ifthe
certifierisunavailable,thestatementmaybesignedbythe
certifier'sauthorizedmedicalassociateorthe
chiefmedicalofficer
forthecertifier'sfacility;OR
Courtorderreflectingtheinformationrequestedtobeamended
SocialSecurityNumber SocialSecurityCardofthedecedent;OR
SocialSecurityBenefitStatementSSA1099ofthedecedent;OR
VerificationletterfromSocialSecurityAdministrationregarding
thedecedent;OR
Report
ofConfidentialSocialSecurityBenefitInformation(SSA
2458)forthedecedent;OR
ReportofSurvivorBenefitsfromSocialSecurityAdministration
forthedecedent;OR
Filedtaxreturn;OR
VerificationletterfromtheUSOfficeofPersonnelManagement
forfederalretirees;OR
Medicare/MedicaidCard‐usedforminorcorrectionsonlysuch
astransposednumbersoronenumberwrong(TheMedicareCard
mustshowtheSocialSecurityNumber);OR
Updated09/2022
NorthCarolinaOfficeofVitalRecords
DeathCertificateAmendmentProofRequirements
DeathCertificateFieldModification
RequiredProofs
RailroadBenefitsStatement1099Rforrailroadretirees;OR
DD214;OR
Courtorderreflectingtheinformationrequestedtobeamended
PlaceofDeath
Signedstatementfromthemedicalcertifierorthemedical
examinerwhosignedthedecedent'sdeathcertificate.Ifthe
certifierisunavailable,thestatementmaybesigned
bythe
certifier'sauthorizedmedicalassociateorthechiefmedicalofficer
forthecertifier'sfacility
Signedstatementfromthetransporterwhoremovedthe
remainsfromtheplaceofdeath;OR
Signedstatementfromthefuneraldirectorwhowitnessedthe
removalofremainsfromtheplaceofdeath;OR
Treatment
reportfromtheemergencymedicalservicesprovider
thatremovedtheremainsfromtheplaceofdeath;OR
Courtorderreflectingtheinformationrequestedtobeamended
ChangingPlaceofDeathTypetoFacility
Statementfromfacilitydirectoronletterheadthatverifies
decedentlivedinthefacility;OR
Signedstatement
fromthemedicalcertifierorthemedical
examinerwhosignedthedecedent'sdeathcertificate.Ifthe
certifierisunavailable,thestatementmaybesignedbythe
certifier'sauthorizedmedicalassociateorthechiefmedicalofficer
forthecertifier'sfacility;OR
Courtorderreflectingtheinformationrequestedtobeamended
Countyof
Death
Signedstatementfromthemedicalcertifierorthemedical
examinerwhosignedthedecedent'sdeathcertificate.Ifthe
certifierisunavailable,thestatementmaybesignedbythe
certifier'sauthorizedmedicalassociateorthechiefmedicalofficer
forthecertifier'sfacility;OR
Signedstatementfromthetransporterwho
removedthe
remainsfromtheplaceofdeath;OR
Signedstatementfromthefuneraldirectorwhowitnessedthe
removalofremainsfromtheplaceofdeath;OR
Treatmentreportfromtheemergencymedicalservicesprovider
thatremovedtheremainsfromtheplaceofdeath;OR
Courtorderreflectingthe
informationrequestedtobeamended
ArmedForcesAffiliation Militarydischarge(DD214);OR
VAIdentificationcard;OR
Notarized,statementfrominformantorclosestfamilymember
thatdecedentneverservedinthemilitary(to removearmed
forcesmarker);OR
Courtorderreflectingtheinformationrequestedtobeamended
Updated09/2022
NorthCarolinaOfficeofVitalRecords
DeathCertificateAmendmentProofRequirements
DeathCertificateFieldModification
RequiredProofs
MartialStatus
Courtorderreflectingtheinformationrequestedtobeamended
MinorCorrectiontoSurvivingSpouseName
Birthcertificateofspouselistedon certificate;OR
*Minorspellingerrorsincludeerrorsaffecting12
lettersofagivennamewheretheamendment
doesnotconstitutealegalnamechange
Decedent'sMarriagecertificate;OR
Spousegovernmentissueddrivingcredentialoridentification
card(e.g.,NCDMVdriverslicense,etc.);OR
Courtorderreflectingtheinformationrequestedtobeamended
AddingorChangingSurvivingSpouseName
Courtorderreflectingtheinformationrequestedtobeamended
Occupations/KindofBusiness
Statementfromemployeror
employmentrecord;OR
FederalTaxReturn(closesttoyearofdeath);OR
W2;OR
Notarized,signedstatementfromtheinformant;OR
Courtorderreflectingtheinformationrequestedtobeamended
Residence
Utilitybillthatincludesnameandaddress(closesttodateof
death);OR
*Minorcorrectiontoobvious
typographicalerrorin
residentialaddress
Medicalbillthatincludesnameandaddress(closesttodateof
death);OR
Telephonebillthatincludesnameandaddress(closesttodateof
death);OR
Governmentissueddrivingcredentialoridentificationcard(e.g.,
NCDMVdriverslicense,etc.);OR
Propertytaxstatementor
verificationletterfrompropertytax
departmenttocorrectthecountyofresidence(closesttoyearof
death);OR
Vehicletaxstatement(proofforcountyofresidence);OR
Courtorderreflectingtheinformationrequestedtobeamended
ChangingResidence(Address,City,State,Countyor
Country)
SocialSecurityBenefitStatementSSA1099
(closesttoyearof
death);OR
Decedent'sSocialSecurityStatementForm(EstimatedBenefits);
OR
HomesteadExemption;OR
Medicarebillingstatement(closesttodateofdeath);OR
Governmentissueddrivingcredentialoridentificationcard(e.g.,
NCDMVdriverslicense,etc.);OR
FederalTaxReturn verifiesaddress(closesttoyearof
death);OR
1099RFederalRetireestatement;OR
Updated09/2022
NorthCarolinaOfficeofVitalRecords
DeathCertificateAmendmentProofRequirements
DeathCertificateFieldModification
RequiredProofs
Propertytaxstatementtosupportthecountyofresidencein
additiontooneoftheaboveproofs(closesttoyearofdeath);OR
Vehicletaxrecordtocorrectcountyofresidence;OR
Courtorderreflectingtheinformationrequestedtobeamended
ChangingResidencetoaFacility
Statementfromfacility
directoronletterheadthatverifies
decedentlivedinthefacility;OR
Signedstatementfromthemedicalcertifierorthemedical
examinerwhosignedthedecedent'sdeathcertificate.Ifthe
certifierisunavailable,thestatementmaybesignedbythe
certifier'sauthorizedmedicalassociateorthechiefmedicalofficer
forthe
certifier'sfacility;OR
Courtorderreflectingtheinformationrequestedtobeamended
HispanicOrigin/Race
RecordfromrollsoffederalorstaterecognizedIndian
tribes;OR
Anotarizedaffidavitfromthetribalchief,attestingtothe
factthatoneorbothoftheparentsareAmericanIndian.(A
tribalmembershipcardisnotsufficientbyitself.The
notarizedaffidavitisstillrequired.);OR
Birthcertificateofdecedentthatsupportstherequested
race(includingforeignbirths)(ifarecordwasrecorded)(out
ofstate/countrymustbecertified);OR
Parents’officiallyregisteredmarriagelicense/certificate
thatsupportstheparent’srequestedrace(outof
state/countrymustbecertified);OR
Birthcertificateoftheoldestchildborntothesame
parent(s)astheapplicantthatsupportstherequested
race(outofstate/countrymustbecertified);OR
CensusRecord,closesttotheyearoftheparent(s’)birth,
thatsupportstherequestedrace;OR
Courtorderreflectingtheinformationrequestedtobeamended
Education
Signedstatementonletterheadfromschoolofficialverifying
yearscompleted;OR
Cumulativeschoolrecordthatshowsgradecompleted;OR
Collegetranscriptfordecedent;OR
Signed/notarizedstatementfromtheinformant;OR
Courtorderreflectingtheinformationrequestedtobe
amended
MinorCorrectiontoParent'sName
Birthcertificateofdecedent(outofstate/countrymustbe
certified);OR
Updated09/2022
NorthCarolinaOfficeofVitalRecords
DeathCertificateAmendmentProofRequirements
DeathCertificateFieldModification
RequiredProofs
*Minorspellingerrorsincludeerrorsaffecting12
lettersofagivennamewheretheamendment
doesnotconstitutealegalnamechange
Marriagelicense/certificateofdecedentifshowsparents'names
(outofstate/countrymustbecertifed);
OR
SocialSecurityNumidentReport;OR
CensusRecordsnearestaftertheyearofbirth(example:1905
birthwouldbethecensusfor1910);OR
Courtorderreflectingtheinformationrequestedtobeamended
AddingorChangingParent'sName
Courtorderreflectingtheinformationrequestedtobeamended
InformantsName
Minor
CorrectiontoInformant'sName
Birthcertificateofinformant(outofstate/countrymustbe
certified);OR
*Minorspellingerrorsincludeerrorsaffecting12
lettersofagivennamewheretheamendment
doesnotconstitutealegalnamechange
Marriagelicense/certificate(outofstate/countrymustbe
certified);OR
Courtorderreflectingtheinformationrequestedtobeamended
ChangeInformantCompletely
Courtorderreflectingtheinformationrequestedtobeamended
InformantsRelationshiptoDecedent
Birthcertificate(s)tosupportthealleged relationship(outof
state/countrymustbecertified);OR
Court
orderwhenchangingtherelationshipfromspouseto
friend,companion,etc.;OR
Courtorderwhenchangingtherelationshipto spouseor
partner;OR
Ifchangingrelationsh iptofriend,signednotarizedstatement
fromtheinformant
InformantsAddress
Utilitybillthatincludesnameandaddress(closesttodateof
death);OR
Telephonebillthatincludesnameandaddress(closesttodateof
death);OR
Medicalbillthatincludesnameandaddress(closesttodateof
death);OR
Bankstatementthatincludesnameandaddress(closesttodate
ofdeath);OR
Courtorderreflectingtheinformationrequestedtobeamended
Method
ofDisposition
Statementfromfuneralhomerepresentativeexplaining
dispositionerrorandanotarizedstatementfromtheinformant
Ifthedecedentwascrematedandtheasheswerethenburied,the
methodofdispositionisstillcremation;OR
Updated09/2022
NorthCarolinaOfficeofVitalRecords
DeathCertificateAmendmentProofRequirements
DeathCertificateFieldModification
RequiredProofs
Courtorderreflectingtheinformationrequestedtobeamended
PlaceofDisposition
Letterfromarepresentativeatthecemeterylistedonthedeath
certificatestatingthedecedentwasneverburiedatthatlocation;
AND
Letterfromarepresentativeatthecorrectcemeterystatingthe
datethedecedentwasburiedat
thatlocation
Ifthedecedentwasburiedatonelocationandlatermovedto
anotherlocation,aletterfromarepresentativeatthecemetery
listedonthedeathcertificatestatingthedecedentwillbe
disenterredfromtheirlocationincludingscheduleddisenterment
dateandplotlocation;ANDaletterfroma representative
atthe
newcemeterystatingthedatethedecedentwillbereinterred
includingtheplotlocation
Letterfromthecrematorywherethedecedentwascremated;
OR
Courtorderreflectingtheinformationrequestedtobeamended
FuneralHomeinformation
FuneralHomeName
BusinessLicense;OR
Courtorderreflectingtheinformation
requestedtobeamended
ChangeAddressofFuneralHome
BusinessLicense;OR
Courtorderreflectingtheinformationrequestedtobeamended
ChangeEmbalmersName&LicenseNumber
CopyofEmbalmer’slicense;OR
Courtorderreflectingtheinformationrequestedtobeamended
Updated09/2022