Get Physician Coroner's Amendment. Vs 24a - Cdph Ca

The Physician Coroner's Amendment (VS 24A) is a crucial document required for making amendments to vital records in California. This guide will provide you with clear and step-by-step instructions to help you fill out this form accurately and efficiently.

Follow the steps to successfully complete the amendment form.

1. Use the ‘Get Form’ button to access the Physician Coroner's Amendment form and open it in your preferred document editor.
2. Locate the Local Registration Number in the upper right-hand corner of the form and write it in the designated space.
3. In Part I, Items 1 – 5, provide the information as it appears on the original record, ensuring clarity and accuracy.
4. In Part II, Item 6, enter the certificate item numbers that need correction according to the original or previous amendments, listing one item per line.
5. For Item 7, enter the information as it currently appears on the original record for each item listed.
6. In Item 8, write the information as it should correctly appear, making sure it corresponds with the items noted in Item 7.
7. Read the declaration statement carefully and have the certifying physician or coroner sign in Item 9, affirming the truthfulness of the information provided.
8. Enter the date signed in Item 10, using the correct format (MM/DD/CCYY).
9. In Item 11, type or print clearly the name and title/degree of the certifier.
10. Fill in the address, city, state, and ZIP code in Items 12 to 15.
11. Do not fill in Items 16 or 17, as these are reserved for the State or Local Registrar's use.
12. Once you have completed the form and ensured all information is accurate, return it to the appropriate State or Local Registrar for processing.

Take the next step toward managing your vital records by completing the Physician Coroner's Amendment form online.