Pennsylvania application record 2015 form: Fill out & sign online

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Click ‘Get Form’ to open the Pennsylvania Application Record 2015 form in the editor.
Begin by completing Part 1, where you must sign to affirm your identity and the accuracy of the information provided. Ensure your signature matches the name listed in Parts 2 and 5.
In Part 2, print or type your name, current mailing address, and relationship to the deceased. If you are an attorney, indicate your representation.
Proceed to Part 3, where you will input details about the deceased individual. This includes their name at death, sex, date and place of death, social security number, age at time of death, and parents' names.
If applicable, complete Part 4 regarding fees for copies. Make sure to include any necessary documentation if you are a member of the Armed Forces.
Finally, in Part 5, attach a legible copy of your valid government-issued photo ID that verifies your identity as listed in Part 2. Follow instructions for mailing or online ordering as needed.

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