APPLICATION FOR SEARCH AND CERTIFIED COPY OF DEATH CERTIFICATE
PLEASE PRINT CORRECT MAILING ADDRESS BELOW:
Request for a search of the records for a death certificate of any person who died in the State of Oklahoma should be submitted on this blank along with the required fee of $10.00. If the death certificate is on file a certified copy will be mailed.
The information requested above should be filled in carefully and accurately. It is the minimum needed to make a thorough search for a death record.
Send ten dollars ($10.00) in cash, money order or check for each copy desired. Cash is sent at sender's risk. Make checks or money orders payable to the State Department of Health.
A copy required to be submitted to the Veterans Administration
or U.S. Commissioner of Pensions, in connection with a claim for military-service-connected
benefits may be obtained without fee provided a signed statement is attached
which sets forth these facts and requests that the copy be issued without fee.
Members of the armed forces and veterans must pay regular fees for copies to
be used for all other purposes. A valid, legal photo I.D. is required from the applicant
or the individual
representing the applicant for the issuance of a birth, death or stillbirth
certificate.
Do not send original ID with your application please send a photocopy.
VS150 R8-93