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Application for a Death Certificate
Download the Application for a Death Certificate**
*Note: In order to view and print this form, your computer must have the Adobe Acrobat Reader utility installed; if this software is not installed on your system, you can download it for free from Adobe.
This form is in a read-only format. Provided you have Adobe Acrobat Reader 4.0 or better, it can be filled out on your computer and printed for mailing. Your work cannot be saved, however.
Instructions for submitting application
To request a copy of a death certificate, please submit this application along with $12.00 per copy. Copies may be obtained by an immediate member of the family or designated appointee. Please include a return address and telephone number when applying for a record, and allow 3 days for delivery of your record by mail.
If you are not sure about something on the application simply call our office and we will be more than happy to assist you.
Submit Application With Appropriate Materials To:
Vital Records
City of Richmond, Marshall Plaza B-2
900 East Marshall Street
Richmond, VA 23219
Death certificates are only available from the City for deaths which occurred in the city in the past several years. If you need further instructions or assistance, please call (804) 646-3122.
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*Note:
In order to view and print these documents, your
computer must have the Adobe
Acrobat Reader utility installed; if this software
is not installed on your system, you can download it for
free from Adobe.
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