Get Request For Search Of Death Form 3912 (revised 11/2016)

Filling out the Request for Search of Death Form 3912 is an essential step in obtaining vital records in the State of Georgia. This guide will provide you with clear and structured instructions to complete the form online successfully.

Follow the steps to complete the form online efficiently.

1. Click the ‘Get Form’ button to access the form and open it in your preferred editing application.
2. Begin with Section 1, which requires information about the decedent. Provide the legal first name, middle name, and last name of the decedent in the designated fields. Confirm the decedent's sex, date of death (month, day, year), and place of death including hospital, county, and state.
3. Continue filling out Section 1 by entering the decedent's last name at birth, age at death, race/ethnicity, and the name of the funeral home.
4. Proceed to Section 2, which captures the requester's information. Enter your first name, middle name, and last name, followed by your street address, apartment number (if applicable), city, state, and zip code.
5. Provide your phone number and email address in the specified fields. Specify your relationship to the decedent, which may include options such as spouse, child, or partner.
6. In the signature field of Section 2, sign your name to certify the request. This signature verifies your identity and your relationship to the decedent.
7. Before finalizing the request, ensure to enter the total number of copies requested and the total amount due as indicated on the form.
8. Save your changes, and review the information you have entered for accuracy. Once confirmed, download the completed form. You may choose to print it for mailing or share it electronically as required.

Begin your online submission of the Request for Search of Death Form today.