health.pa.gov Corrections to Death Certificates : Pennsylvania Department of Health

Name of the Organization : Pennsylvania Department of Health
Type of Facility : Corrections to Death Certificates
State : Pennsylvania
Country : United States of America

Website : http://www.health.pa.gov/MyRecords/Certificates/DeathCertificates/Pages/Corrections-to-Death-Certificates.aspx#.V1-uEeQgsqg
Correction Form : https://www.statusin.org/uploads/24099-DeathCorrection.pdf

Corrections to Death Certificates

** The individual requesting a correction must include a legible copy of his/her valid government issued photo ID, such as state-issued driver’s license or non-driver photo ID verifying his/her current mailing address.

Related : Pennsylvania Department of Health Obtain Death Certificate : www.statusin.org/24095.html

** Mail requests are processed in approximately 8 to 10 weeks from the date of receipt.

How To Correct Personal Information Of Decedent If Death Occurred Within Past Two Years :
** To correct spelling or typographical errors in the decedent’s name, date of birth, age, mailing address, social security number, etc.
** It will be necessary for the funeral director who signed the original death certificate or the informant listed on the death certificate to complete a Death Correction Statement.

** Please list the information in the “Correct” column and hand sign in the designated area.
** The individual requesting the correction must include a legible copy of his/her valid government issued photo ID

How To Correct Personal Information Of Decedent If Death Occurred More Than Two Years Ago:
** To correct spelling or typographical errors in the decedent’s name, date of birth, age, mailing address, social security number, etc.
** It will be necessary for the funeral director who signed the original death certificate or the informant listed on the death certificate to complete a Death Correction Statement.
** Please list the information in the “Correct” column and hand sign in the designated area.

** In addition, a photocopy of any one document that conclusively establishes the information to be corrected must be submitted.
** Acceptable documents include a birth certificate, Social Security card, marriage record, or life insurance policy.
** The individual requesting the correction must include a legible copy of his/her valid government issued photo ID.

Major Changes to Decedent’s Name, Date of Death or Cause of Death :
** It will be necessary to contact the physician or medical examiner/coroner who signed the original death certificate for assistance in changing these items on the death certificate

If Correction To Death Certificate Is Not Addressed Above :
** If the correction you desire is not addressed above or you require additional information,
** you may contact the Division of Vital Records by one of the methods listed below
Telephone : 724-656-3100

Mail :
** Please submit a completed application form and specify the correction(s) desired to the death certificate.
** The individual requesting the correction must include a legible copy of his/her valid government issued photo ID with the completed application form and the required fee or Armed Forces information.

Please mail your request to :
Division of Vital Records
Attn: Death Unit
101 South Mercer Street
PO Box 1528
New Castle, PA 16103