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Date: LOGAN COUNTY HEALTH DISTRICT APPLICATION FOR CERTIFIED COPY OF DEATH CERTIFICATE Date of Death: *Name of Deceased: *Decedent place of death must be Logan County Applicant's Name: Street Address:
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Open the deathcertificateapplication-website1xls - pdfmachine from file on your computer.
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Review the form and familiarize yourself with the required information.
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Begin by entering the deceased person's personal details, such as their full name, date of birth, and social security number.
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Provide information about the date and place of death, including the city, county, and state.
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Fill in the details of the deceased person's parents, including their full names and any other relevant information.
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Indicate whether an autopsy was performed or not and provide details if applicable.
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Enter the information about the person completing the form, including their full name, relationship to the deceased, and contact information.
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Who needs deathcertificateapplication-website1xls - pdfmachine from:

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Individuals seeking to apply for a death certificate for a deceased person.
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Funeral homes, hospitals, or other institutions responsible for reporting deaths and obtaining death certificates.
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Government agencies or organizations involved in processing death certificate applications and maintaining official records.
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The individuals required to file deathcertificateapplication-website1xls - pdfmachine depend on the specific requirements set by the organization or authority requesting the document.
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The purpose of deathcertificateapplication-website1xls - pdfmachine is to provide a standardized format for documenting and submitting information related to death certificates.
The information required to be reported on deathcertificateapplication-website1xls - pdfmachine typically includes details about the deceased individual, the date and place of death, and other relevant information.
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