Application for amendment to florida death or fetal death record 2025

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  1. Click ‘Get Form’ to open the Application for amendment to Florida death or fetal death record in our editor.
  2. Begin by filling in the decedent's full name, including first, middle, and last names, along with the date of death (day, month, year) and place of death (city or town).
  3. Select the type of filing: Death or Fetal Death. If applicable, indicate whether you need cause of death information on the certification.
  4. Complete the applicant's information section by providing your name, relationship to the decedent, and contact details. Ensure all fields are filled accurately.
  5. Review any fees associated with medical or non-medical amendments and include payment details as required. Remember that fees are nonrefundable.
  6. Finally, sign the application and ensure all necessary documentation is attached before submitting it via mail to the Department of Health.

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2016 4.8 Satisfied (165 Votes)
2013 4 Satisfied (36 Votes)
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0:12 1:19 This can add more time and complexity to the process. If you need to amend a death certificate. ItsMoreThis can add more time and complexity to the process. If you need to amend a death certificate. Its best to contact the vital records office in the state where the death occurred.
Amendment means completion or correction of items (other than the cause and manner of death) that print on a death certificate. You may add missing information (like a middle name or name suffix), or change information (like a wrong date of birth or a spelling error).
Florida law charges a non-refundable fee of $20.00 to process an amendment. This fee also covers one certified copy of the corrected record. Please read the Instructions For Correction of Certificate of Death before starting your application.
The Affidavit of Amendment to Certificate of Death (DH Form 433) is a legal document that is used in conjunction with the Application for Amendment to Florida Death Record (DH Form 524). This form is a sworn statement that is used to verify the information provided on the application form.
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