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                Get Death Certificate Application Form
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How to fill out the Death Certificate Application Form online
This guide provides clear steps to assist you in filling out the Death Certificate Application Form online. Completing this form correctly is essential for obtaining a death certificate, and this guide aims to support you through the process.
Follow the steps to successfully complete the application.
- Click ‘Get Form’ button to access the Death Certificate Application Form and open it in your preferred editing tool.
 - Begin by filling out the basic information about the deceased. In section 1, enter the last name (surname), followed by the first name in section 2, and include any other names in section 3.
 - Provide details of the place and date of death. In section 4, enter the specific location where the person passed away. Then, in section 5, input the date of death, including the day, month, and year.
 - Indicate the sex of the deceased in section 6. Select either 'male' or 'female' as applicable.
 - In section 7, describe the cause of death, providing as much detail as possible.
 - Input the place of birth in section 8, detailing the street or dam, ward or village, town or country, and region. Follow this by entering the year of birth.
 - Next, in section 9, provide the name and local address where the death certificate should be sent.
 - Finally, review all the information you have entered to ensure it is accurate before saving your changes. You will then have the option to download, print, or share the completed form.
 
Complete your Death Certificate Application Form online today to ensure a smooth processing experience.
The State Department of Health makes available for public use microfiche copies of older indexes to birth, marriage, and death certificates. The indexes cover the entire state outside of New York City and start in June 1880 (deaths) or 1881 (marriages and births).
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