IDPH - Illinois Department of Public Health

Correct a Death Certificate

What you will need to provide

Death certificates can be corrected under certain circumstances prescribed by the Vital Records Act (410 ILCS 535) and 77 Ill. Adm. Code Part 500. Every request is unique.

Every person entitled to request a correction, must complete an Affidavit and Certificate of Correction Request. Because each request is unique, additional documentation also will be required and may vary, according to the type of correction requested.

In order to request a correction to a death certificate you must complete the Affidavit and Certificate of Correction Request form in its entirety and submit it along with:

A valid government issued photo identification (If not provided, unreadable or expired, the request will be returned unprocessed.)

The required fee. For information about fees, click here.

Types of documents

The documents listed below are provided as general guidelines. In those cases when the documentation provided does not clearly support the change requested, you may need to obtain a court order***.

Type of correction requested Suggested documents
First Name Birth record
Middle Name Birth record
Last Name Birth record
Marriage record
Sex Birth record
Date of Death Medical records from place of death
Age Birth record
Date of Birth Birth record
Birthplace Birth record
Marital/Civil Union Status and
Surviving Spouse
Marriage/civil union record/Divorce/dissolution record
Surviving Spouse's birth record
Marital/civil union proof such as: Federal or State tax returns, bank statements, brokerage and loan accounts, insurance policies
Father/Co-parent's Name Birth record
Mother/Co-parent's Name Birth record
Informant's Name Informant's birth record
  Informant's marriage/civil union record
Funeral Home Notarized statement from both funeral homes
Cause of Death Certificate of Death Worksheet signed by Certifying Physician
Autopsy Certificate of Death Worksheet signed by Certifying Physician
Date/Time/Location of Injury Certificate of Death Worksheet signed by Certifying Physician
Manner of Death Certificate of Death Worksheet signed by Certifying Physician
Date Physician Last Attended Deceased Certificate of Death Worksheet signed by Certifying Physician
Time of Death Certificate of Death Worksheet signed by Certifying Physician