Funeral Home Application for a Death Certificate 2026

1. Click ‘Get Form’ to open the Funeral Home Application for a Death Certificate in our editor.
2. Begin with Part 1, where you will enter the funeral director's name, funeral home name, license number, and contact details. Ensure all information is accurate to avoid processing delays.
3. In Part 2, provide details about the deceased, including their full name, date of death, social security number, and place of death. This section is crucial for identifying the correct death record.
4. For Part 3, indicate the acceptable forms of identification you are submitting. Remember to include a legible photocopy of a valid ID as specified.
5. Complete Part 4 by calculating any fees due for the certificate. If applicable, note if you are requesting a fee waiver due to military service.
6. Finally, sign and date the application in Part 5. Your signature must match the name provided in Part 1 to validate your request.

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