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STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH (DPH)Request for a Certified Copy of a DeathCertificate from the Town of Death Vital Records OfficeVS39DTW Revised: 9/6/2011PLEASE PRINT×DO NOT MAIL

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How to fill out request for a certified

01

Step 1: Start by obtaining the request form for a certified document from the relevant authority or organization.

02

Step 2: Read the instructions provided with the form carefully to understand the required information and any supporting documents that need to be submitted.

03

Step 3: Fill out the personal details section of the form accurately, including your full name, address, contact information, and any other requested information.

04

Step 4: Specify the type of document you need a certified copy of and provide any relevant details such as document number, date of issue, etc.

05

Step 5: If required, indicate the purpose for which you need the certified copy and provide any supporting documents or justifications.

06

Step 6: Double-check all the information you have provided to ensure its accuracy and completeness.

07

Step 7: If necessary, make a copy of the completed form for your own records.

08

Step 8: Submit the filled-out form along with any required supporting documents to the designated authority or organization.

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Step 9: Pay any applicable fees, if required, according to the provided instructions.

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Step 10: Wait for the processing of your request and follow any further instructions provided by the authority or organization to receive your certified document.

Who needs request for a certified?

01

Individuals who require an official certified copy of a document for legal purposes, such as applying for a job, obtaining a visa, getting married, enrolling in educational institutions, or filing legal documents.

02

Government agencies or organizations that need to authenticate documents for official purposes, such as verifying identity, citizenship, or educational qualifications.

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