
Get the free Death Certificate Request Form - City of New London
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Print Form CITY OF NEW LONDON, CONNECTICUT REQUEST FOR CERTIFIED COPY OF DEATH CERTIFICATE PLEASE PRINT *** DO NOT MAIL CASH *** DEATH CERTIFICATE FOR: FULL NAME: FIRST MIDDLE DATE OF DEATH: / / LAST
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How to fill out death certificate request form

How to fill out a death certificate request form:
01
Start by obtaining the death certificate request form. This form can usually be obtained from the vital records office or department of health in the state where the death occurred.
02
Begin by providing your personal information. This includes your full name, contact information, and relationship to the deceased individual.
03
Fill in the necessary details about the deceased individual. This may include their full name, date of birth, date of death, and place of death.
04
Specify the reason for requesting the death certificate. Common reasons may include legal matters, settlement of an estate, or genealogical research.
05
Determine the number of copies you require. Depending on your needs, you may need multiple copies of the death certificate. Specify the quantity needed on the form.
06
Include any additional information or special requests, if applicable. This could include providing the social security number of the deceased, requesting expedited processing, or specifying a specific delivery method for the certificate.
07
Review the form for accuracy and completeness. Double-check that all the information provided is correct and that there are no errors or omissions.
08
Sign and date the form. By signing and dating the form, you acknowledge that all the information provided is true and accurate to the best of your knowledge.
09
Make a copy of the completed form for your records. It is always advisable to keep a copy of any documents you submit for your own reference.
Who needs a death certificate request form:
01
Individuals who require a death certificate for legal purposes, such as settling an estate, claiming life insurance benefits, or filing for social security benefits, will need a death certificate request form.
02
Family members or descendants who are conducting genealogical research may also need a death certificate request form to obtain the necessary documentation.
03
Funeral homes or individuals responsible for making funeral arrangements may need to fill out a death certificate request form to acquire the required permits and certificates.
04
Lawyers or legal professionals handling the affairs of a deceased individual may need a death certificate request form to gather the necessary documentation for their clients.
05
Government agencies or institutions that require proof of death for various purposes, such as the closure of accounts or the termination of benefits, will also need a death certificate request form.
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