Information Needed For The Death Certificate


The following information is needed for the death certificate:

  • Legal name of the deceased
  • Social Security number
  • Father's name
  • Mother's name prior to first marriage
  • Occupation and employer information
  • Is the decedent of Hispanic Origin?
  • Place of birth (City, State, or Country)
  • Address of residence (street address, city, state, zip code)
  • Did the deceased ever serve in the US Armed Forces?  If yes, which war?
  • Decedent's highest education level
  • Is the decedent under a doctor's care?
  • Date of Birth
  • Domestic status (single, married, widowed, divorced, domestic partner, civil union)
  • Informant's name and mailing address.  Relationship to deceased
  • Decedent's race

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