Get Application For Authorized Certified Copy Of Death Record - Acphd

Filling out the Application For Authorized Certified Copy Of Death Record - Acphd online can seem daunting, but this guide will help you navigate each section with ease. By following the provided steps, you will be able to complete the application accurately and efficiently.

Follow the steps to complete the application form correctly.

1. Press the ‘Get Form’ button to access the application form and open it in your preferred editor.
2. In the 'Death Certificate Information' section, specify the number of copies you are requesting. Then, enter the deceased's full name, ensuring that you include the first, middle, and last names. Provide the date of death in the appropriate format (month, day, year) and include the city where the death occurred.
3. Navigate to the 'Mortuary Information' section. Here, input the name of the mortuary or funeral home. Next, fill in the mailing address, including the number, street, city, state, and zip code. Don’t forget to include the telephone number, with the area code.
4. Next, you will need to indicate your relationship to the deceased by checking the appropriate box. Review the options carefully and select the one that applies to you, such as being a child, spouse, or legal guardian.
5. In the declaration section, input your printed name where indicated. You must also affirm under penalty of perjury that you are an authorized person as stipulated by California Health and Safety Code Section 103525 (c). Fill in the date of signing and your city and state.
6. Finally, sign the form to authenticate your request. Once all required fields are completed, you can save changes, download a copy of the form, print it for your records, or share it as necessary.

Complete your application for an authorized certified copy of the death record online today.