Get the free WISCONSIN DEATH CERTIFICATE APPLICATION - Waupaca County

Alpaca County Register of Deeds Michael Make (Rev. 03/10) STATE OF WISCONSIN Chapter 69.21 Wis.Stats. Page 1 of 2 WISCONSIN DEATH CERTIFICATE APPLICATION TYPE or PRINT. (for Mail or In-Person Requests)

How to fill out wisconsin death certificate application

How to fill out Wisconsin death certificate application:

1. Obtain the application form: The Wisconsin death certificate application can be obtained from the Wisconsin Department of Health Services website or from the local county registrar's office.
2. Provide basic information: Fill out the applicant's name, address, and contact information in the appropriate sections of the application form.
3. Identify the deceased: Enter the full name, gender, and date of birth of the deceased individual. If the deceased was married, provide the full name of their spouse.
4. Document the date and place of death: Fill in the date, time, and location of the death, including the city, county, and state where it occurred. If the death happened outside of Wisconsin, additional documentation may be required.
5. Specify the cause of death: Indicate the primary cause of death and any contributory factors, if known. Include any relevant details such as medical conditions or injuries that led to the death.
6. Provide personal information: Enter the deceased person's social security number, occupation, and educational background. If the person was a veteran, specify their military status and branch.
7. Provide information about the family: Include the names of the deceased individual's parents, their mother's maiden name, and the names of their children, if applicable.
8. Sign and certify the application: Review the completed application form for accuracy and sign it in the presence of a notary public or authorized registrar.
9. Submit the application: Send the completed and notarized death certificate application form, along with any required supporting documents and the applicable fee, to the Wisconsin Department of Health Services or the local county registrar's office.

Who needs Wisconsin death certificate application:

1. Family members: The immediate family members, such as the spouse, parents, or children of the deceased, may need the death certificate application to access certain benefits, settle legal matters, or claim life insurance.
2. Funeral homes: Funeral homes and directors require the death certificate application to initiate the funeral arrangements and obtain the necessary permits for burial or cremation.
3. Legal representatives: Attorneys and legal representatives may need the death certificate application to handle probate matters, settle the deceased individual's estate, or distribute assets according to their will or intestate succession laws.
4. Government agencies: Various government agencies, such as the Social Security Administration or the Veterans Administration, may require the death certificate application to process claims or provide benefits to surviving family members.

Note: It is important to follow the specific guidelines and requirements outlined by the Wisconsin Department of Health Services or the local county registrar's office when filling out the death certificate application.

For pdfFiller’s FAQs

What is wisconsin death certificate application?

Wisconsin death certificate application is a form that needs to be filled out to officially register a death in the state of Wisconsin.

Who is required to file wisconsin death certificate application?

The next of kin or a legal representative of the deceased individual is required to file the Wisconsin death certificate application.

How to fill out wisconsin death certificate application?

Wisconsin death certificate application can be filled out either online through the Wisconsin Department of Health Services website or by obtaining a physical form from a local vital records office and submitting it in person or by mail.

What is the purpose of wisconsin death certificate application?

The purpose of the Wisconsin death certificate application is to officially record the details of a person's death, including cause of death, location, and other vital information.

What information must be reported on wisconsin death certificate application?

The information reported on the Wisconsin death certificate application includes the deceased individual's name, date of birth, date of death, place of death, cause of death, and information about the person reporting the death.

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