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Mendocino County Department of Public Health APPLICATION FOR CERTIFIED COPY OF DEATH RECORD NOTICE: Orders received by mail must be accompanied by the attached sworn statement (see the instructions
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Read the notice carefully to understand the requirements and instructions.
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Fill out the notice form accurately, providing all the requested information.
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Double-check the filled out notice for any mistakes or missing information.
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Attach the required supporting documents to the notice.
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Submit the completed notice by the given deadline, either electronically or through mail.
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