We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Death Record Request Form Death Record Request Form

Get Death Record Request Form Death Record Request Form

----------Cook County Clerk David Orr, Bureau of Vital Records------------ DEATH RECORD REQUEST FORM DEATH RECORD REQUEST FORM To obtain a copy of a death record from the Cook County Clerk s Office,.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Death Record Request Form online

Requesting a death record can be a sensitive yet necessary task. This guide aims to provide clear, step-by-step instructions on how to fill out the Death Record Request Form online, ensuring that you understand each component of the process.

Follow the steps to successfully complete your request.

  1. Click the ‘Get Form’ button to access the Death Record Request Form. This will open the form in an interactive format where you can input your information.
  2. Begin by filling in the name of the deceased. Enter their first, middle, and last names accurately to ensure proper identification in the records.
  3. Next, provide the date of death. Use the format Month/Day/Year to enter this information correctly.
  4. Indicate the place of death by entering the city or village where the individual passed away, ensuring it is within Cook County.
  5. Specify the number of copies required. The cost is $15 for the first copy and an additional $4 for each subsequent copy. Ensure you have the funds ready, as this will need to be included in your request.
  6. Complete the section for your name, including your first and last name. You must certify that you have a legal interest in obtaining the death record.
  7. Provide your mailing address, ensuring all necessary components such as the number, street, city, state, unit number, and zip code are accurate for mailing purposes.
  8. Select how you would like to receive the document: via mail, in person, or by waiting for it to be processed.
  9. Before submitting the form, attach a photocopy of your photo identification along with a check or money order payable to the Cook County Clerk.
  10. Finally, include a self-addressed stamped envelope to allow for the return of your requested documents. Review your entries for accuracy before sending your request.
  11. After completing all sections, you can now save the changes, download, print, or share the filled-out form as needed.

Complete your Death Record Request Form online today to simplify the process.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

death record request form - Cook County Clerk's...
Jan 17, 2019 — Pursuant to §410 ILCS 535/25(4)(d), "a certified copy of a death record...
Learn more
Request Medical Records | Michigan Medicine
Obtaining Copies of Your Medical Records Release of Information (ROI) ... copies of...
Learn more
Vital record - Wikipedia
Vital records are records of life events kept under governmental authority, including...
Learn more

Related links form

Anthem Treatment Plan Request Form for Autism Spectrum Disorders 2018 AAO-HNS Diversity Endowment URM Away Rotation Grant Application 2019 Magnolia OB/GYN Prenatal Questionnaire Behavior Care Specialists Client Information Sheet 2018

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Short Form): Florida issues two types of certificates: Long form will show the cause of death. Short form will not. Short form will be required for the Clerk of Court and certain other state agencies in Florida.

Who can request a Death Certificate? WITHOUT CAUSE OF DEATH: Any person of legal age (18 or over) may apply for a certified copy of a death record without the cause of death. The first five digits of the decedent's social security number will be redacted.

To obtain a certified copy of such older death records, please contact the State Office of Vital Statistics at 904-359-6900 or via the internet at .doh.state.fl.us/planning_eval/vital_statistics . The fee for each certified copy of a Florida death record is $20.00.

Florida issues two types of certificates: Long form will show the cause of death. Short form will not. Short form will be required for the Clerk of Court and certain other state agencies in Florida. In Florida, Cause of Death is considered confidential by law.

Any individual in Florida can request a Short-Form death certificate without cause of death. By statute, only certain people can request a Long-From death certificate: The decedent's spouse, parent, child, grandchild, or sibling (if 18 years of age or older);

Death records that include the manner of death, cause of death or any of the medical information are known as “long-form death records.” Short-form death records only include the fact of death or demographic information.

Type of Certificate: Death certificate without cause of death (public record) Death certificate with cause of death (confidential for 50 years - VALID PHOTO IDENTIFICATION REQUIRED).

The Florida Department of Health keeps Florida birth and death certificates. You may obtain certificates either by contacting your local Department of Health Office or the Florida Department of Health's Bureau of Vital Statistics located in Jacksonville, FL.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Death Record Request Form Death Record Request Form
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232