Get the free Wisconsin Death Certificate Application - Lafayette County

DEPARTMENT OF HEALTH SERVICES Division of Public Health F05280 (Rev. 05/2018)STATE OF WISCONSIN Wis. Stat. 69.21-Page 1 of 2LAFAYETTE COUNTY REGISTER OF DEEDSWISCONSIN DEATH CERTIFICATE APPLICATIONTYPE

How to fill out wisconsin death certificate application

How to fill out wisconsin death certificate application

1. To fill out the Wisconsin death certificate application, follow these steps:
2. Obtain the death certificate application form from the Wisconsin Department of Health Services website or your local county vital records office.
3. Fill in the personal information of the deceased, including full name, date of birth, date of death, and place of death.
4. Provide information about the deceased's parents, including their names and birthplaces if known.
5. Indicate the social security number, marital status, and occupation of the deceased.
6. If the death occurred in a healthcare facility, provide the facility name and person in charge.
7. Mention the method of disposition, such as burial or cremation.
8. Identify the person completing the application and provide their contact information.
9. Sign and date the application form.
10. Attach any required supporting documents, such as a copy of the death certificate.
11. Submit the completed application form along with any applicable fees to the relevant authorities or office.

Who needs wisconsin death certificate application?

1. Anyone who needs to obtain a Wisconsin death certificate would need to fill out the death certificate application.
2. This includes family members of the deceased who require the death certificate for legal and financial matters, funeral directors who need it for arranging burial or cremation services, doctors and medical professionals involved in certifying the death, and government agencies or institutions that require it for official records.

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What is wisconsin death certificate application?

The Wisconsin death certificate application is a form used to officially record information about a person's death.

Who is required to file wisconsin death certificate application?

The next of kin or a designated representative is typically required to file the Wisconsin death certificate application.

How to fill out wisconsin death certificate application?

The Wisconsin death certificate application can be filled out by providing information about the deceased individual, including their full name, date of birth, date of death, and other relevant details.

What is the purpose of wisconsin death certificate application?

The purpose of the Wisconsin death certificate application is to legally document and certify the death of an individual.

What information must be reported on wisconsin death certificate application?

Information such as the deceased individual's full name, date of birth, date of death, cause of death, place of death, and other relevant details must be reported on the Wisconsin death certificate application.