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RECEIPT#___CLARK COUNTY HEALTH DEPARTMENT 1201 Wall Street Jeffersonville, IN 47130 Phone # (812) 2846609APPLICATION FOR CERTIFIED CERTIFICATE OF DEATH NAME OF DECEASED: ___ DATE OF DEATH: ___ (If
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Clark County Indiana death refers to the official process of registering the death of an individual in Clark County, Indiana, which involves completing a death certificate.
Typically, a funeral director or other authorized individual is required to file the death certificate in Clark County, Indiana.
To fill out a Clark County Indiana death certificate, provide necessary details such as the deceased's full name, date of birth, date of death, and the cause of death, along with personal information of the informant.
The purpose of filing a Clark County Indiana death certificate is to officially document the death for legal and statistical purposes, including estate settlement and public health records.
Information that must be reported includes the decedent's full name, date of birth, date and place of death, cause of death, and details of the informant.
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