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Arkansas death certificate form 2026

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The document outlines the application process for obtaining death certificates from the Arkansas Department of Health. It specifies that only Arkansas deaths are recorded, with limited records available for deaths prior to February 1, 1914. The application requires a fee of $10 for the first certified copy and $8 for additional copies, along with a photo ID. It details the necessary information to provide, methods of application (mail, internet, or in-person), and warns against false statements in applications.

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Click ‘Get Form’ to open the Arkansas Death Certificate Application in our platform.
Begin by entering the full name of the deceased in the designated fields: First Name, Middle Name, and Last Name.
Next, provide the Date of Death by filling in the Month, Day, and Year. If unknown, indicate the last place of residence.
Fill in the Place Where Death Occurred, including City or Town, County, and State.
Complete details about the funeral home by entering its name and address.
Indicate your relationship to the deceased and your reason for requesting a copy of this certificate.
Finally, sign and provide your telephone number at the bottom of the form before submitting it along with payment and identification.

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Versions	Form popularity	Fillable & printable
2011	4.9 Satisfied (58 Votes)
2004	4.1 Satisfied (45 Votes)

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