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Get Application For Certified Copy Of Death Record. Vs 112 - Cdph Ca
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How to fill out the Application For Certified Copy Of Death Record. VS 112 - Cdph Ca online
Obtaining a certified copy of a death record is an important process that requires careful attention to detail. This guide provides step-by-step instructions on how to navigate the Application For Certified Copy Of Death Record. VS 112 - Cdph Ca, ensuring that you complete it correctly and effectively online.
Follow the steps to complete the application accurately.
- Click the ‘Get Form’ button to access the application and open it in your chosen editor.
- Indicate the type of certified copy you are requesting by selecting either ‘Certified Copy’ or ‘Certified Informational Copy’. Make sure to choose the appropriate option that aligns with your eligibility and purpose.
- Complete the applicant information section. This includes today's date, your agency name (if applicable), case number, inmate ID number, and your name. Remember to provide your signature to validate the application.
- Fill in the purpose of your request and your mailing address. Ensure that all the information is accurate to avoid delays in the processing of your request.
- Complete the death record information section. You will need to provide the decedent's full name, sex, city and county of death, date of birth, and date of death. This information must match the death record as accurately as possible.
- If you are applying for a Certified Copy, you must also fill out and sign the Sworn Statement attached to the application, declaring your eligibility. Ensure this statement is notarized if you are submitting your application by mail.
- Prepare your payment of $21 per copy requested. Indicate the number of copies you desire and attach a personal check or money order made payable to CDPH Vital Records. Remember, cash should not be sent.
- Mail the completed application, the signed Sworn Statement (if applicable), and payment to the California Department of Public Health at the provided address.
Start your application online today to secure a certified copy of the death record you need.
For those needing copies of death certificates within the first 30 days after the death, please contact the Health Care Agency . For all other requests, please contact the Clerk-Recorder Department .
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