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DeKalb County Board of Health Death Certificate Order Form


ACCESSING A DEATH CERTIFICATE



Certified Death certificates are available to applicants having a direct and tangible interest, primary family members, or legal representatives of the family.



PROVIDING INFORMATION



You will be required to enter the following information about the person whose death certificate you are requesting:


  • First name.

  • Last name.

  • Month, day and year of death.

  • County where death occured.






PROVIDING DOCUMENTATION



To order a death certificate, you will be required to upload a copy of your official photo identification (ID) as a pdf, jpg, jpeg or png file.

The following are official photo IDs:


  • State of Georgia driver's license.

  • Photo ID card issued by a government agency.

  • Photo ID card issued by an employer.

  • Photo ID card issued by a college or university.

  • Resident Alien Card (Form I-551 issued by the U.S. Citizenship and Immigration Services).

  • Temporary Resident Alien Card (Form I-668 issued by the U.S. Citizenship and Immigration Services).

  • Government passport issued by a country.

  • Military ID card issued by the U.S. Armed Forces.

  • Matricula card.






PURCHASING A DEATH CERTIFICATE




Georgia law requires payment before a service can be provided.

The fee for a death record search is $25. If the record is found, the first copy of the certificate is free.

Additional copies can be ordered at the same time for $5 each.

A $5 handling and processing fee will be charged to this order.

Certificates are sent via the U.S. Postal Service by first class mail.


All fees are NON-REFUNDABLE.

*All payments will be processed through PayPal. PayPal accepts all major credit cards*



SYSTEM REQUIREMENTS



Do not view this form using Internet Explorer. Please use Chrome or another browser to process your online order.


Field is required!
Field is required!
AGREEING TO TERMS
By checking the box below, you agree to provide the required documentation and payment described above.
You confirm that the documentation you use to identify yourself is yours.
Under Georgia law, it is a felony to use someone else's identity (see O.C.G.A. 16-9-120 through 16-9-127).
You understand that there are non-refundable fees for the record search and for the processing fee.
You must confirm before proceeding to the next step
You must confirm before proceeding to the next step
CONFIRMING A DEATH IN GEORGIA

Check this box to confirm that the death certificate you are requesting is for a death that occurred in the state of Georgia.
Please check to confirm that the death occurred in the state of Georgia
Please check to confirm that the death occurred in the state of Georgia
CHECKING FOR REQUIRED INFORMATION

Check each of the following to confirm that you have the required information about the person named on the certificate.
You must have all the items on this checklist before proceeding
You must have all the items on this checklist before proceeding
PROVIDING YOUR OFFICIAL PHOTO IDENTIFICATION

Check the box below to confirm that you are providing a proper, legal form of identification to verify your identity.
You must confirm that you have identification documentation before you continue
You must confirm that you have identification documentation before you continue

PROVIDING YOUR INFORMATION

Please provide the following information about you, the person requesting the certificate.
Your first name
Your First Name
Please type your first name
Please type your first name
Your last name
Your Last Name
Please enter you last name
Please enter you last name
Your street address or P.O. box
Your address
Please enter in your address
Please enter in your address
City
City
Field is required!
Field is required!
State
  • - select a option -
  • AL
  • AK
  • AZ
  • AR
  • CA
  • CO
  • CT
  • DE
  • FL
  • GA
  • HI
  • ID
  • IL
  • IN
  • IA
  • KS
  • KY
  • LA
  • ME
  • MD
  • MA
  • MI
  • MN
  • MS
  • MO
  • MT
  • NE
  • NV
  • NH
  • NJ
  • NM
  • NY
  • NC
  • ND
  • OH
  • OK
  • OR
  • PA
  • RI
  • SC
  • SD
  • TN
  • TX
  • UT
  • VT
  • VA
  • WA
  • WV
  • WI
  • WY
  • DC
- select a option -
Field is required!
Field is required!
Zip code
Zipcode
Please enter your zip code
Please enter your zip code
Confirm shipping address
Is the above address your shipping address?
Field is required!
Field is required!
Your shipping address or P.O. box
Your shipping address
Please enter in your address
Please enter in your address
City
City
Please enter your city
Please enter your city
State
  • - select a option -
  • AL
  • AK
  • AZ
  • AR
  • CA
  • CO
  • CT
  • DE
  • FL
  • GA
  • HI
  • ID
  • IL
  • IN
  • IA
  • KS
  • KY
  • LA
  • ME
  • MD
  • MA
  • MI
  • MN
  • MS
  • MO
  • MT
  • NE
  • NV
  • NH
  • NJ
  • NM
  • NY
  • NC
  • ND
  • OH
  • OK
  • OR
  • PA
  • RI
  • SC
  • SD
  • TN
  • TX
  • UT
  • VT
  • VA
  • WA
  • WV
  • WI
  • WY
  • DC
- select a option -
Please select your shipping state
Please select your shipping state
Zip code
Zipcode
Please enter your zip code
Please enter your zip code
Your email address
Your email address
Please enter your email address
Please enter your email address
Your phone number
Your phone number
Enter your phone number
Enter your phone number
Your relationship to the person named on the certificate
  • - select a option -
  • Parent named on the certificate
  • Grandparent
  • Sibling (age 18 or older)
  • Spouse
  • Temporary or permanent legal guardianTemporary or permanent legal guardian
  • Legal representative
  • Individual empowered by statue or appointed by a court to act on the person's behalf
- select a option -
Please select an option
Please select an option

UPLOADING YOUR OFFICIAL PHOTO IDENTIFICATION



Upload a copy of your official photo identification (ID) as a pdf, jpg, jpeg or png file.



The following are official photo IDs:


  • State of Georgia driver’s license.

  • Photo ID card issued by a government agency.

  • Photo ID card issued by an employer.

  • Photo ID card issued by a college or university.

  • Resident Alien Card (Form I-551 issued by the U.S. Citizenship and Immigration Services).

  • Temporary Resident Alien Card (Form I-668 issued by the U.S. Citizenship and Immigration Services).

  • Government passport issued by a country.

  • Military ID card issued by the U.S. Armed Forces.

  • Matricula card.





If you do not have an official photo ID, upload a notarized letter verifying your identity.


Field is required!
Field is required!
Upload your official photo identification

Please upload your official photo ID here.
Upload your ID
Please upload your Photo ID. Max file size is 72 MB
Please upload your Photo ID. Max file size is 72 MB

REQUESTING A DEATH CERTIFICATE


Please provide the following information about the person named on the death certificate.
First name
First name
Please enter the first name for the death certificate
Please enter the first name for the death certificate
Last name
Last name
Please enter the last name for the death certificate
Please enter the last name for the death certificate
Date of death
The death must have occurred at least 4 weeks prior to today. If the death occurred more recently, please allow at least 4 weeks from the date of death before requesting a certificate.
Select date of death
Please enter the date of death
Please enter the date of death
County where death occured
  • - select a option -
  • Appling County
  • Atkinson County
  • Bacon County
  • Baker County
  • Baldwin County
  • Banks County
  • Barrow County
  • Bartow County
  • Ben Hill County
  • Berrien County
  • Bibb County
  • Bleckley County
  • Brantley County
  • Brooks County
  • Bryan County
  • Bullock County
  • Burke County
  • Butts County
  • Calhoun County
  • Camden County
  • Candler County
  • Carroll County
  • Catoosa County
  • Charlton County
  • Chatham County
  • Chattahoochee County
  • Chattooga County
  • Cherokee County
  • Clarke County
  • Clay County
  • Clayton County
  • Clinch County
  • Cobb County
  • Coffee County
  • Colquitt County
  • Columbia County
  • Cook County
  • Coweta County
  • Crawford County
  • Crisp County
  • Dade County
  • Dawson County
  • Decatur County
  • DeKalb County
  • Dodge County
  • Dooly County
  • Dougherty County
  • Douglas Cuonty
  • Early County
  • Echols County
  • Effingham County
  • Elbert County
  • Emanuel County
  • evans County
  • Fannin County
  • Fayette County
  • Floyd County
  • Forsyth County
  • Franklin County
  • Fulton County
  • Gilmer county
  • Glascock County
  • Glynn County
  • Gordon County
  • Grady County
  • Greene County
  • Gwinnett County
  • Habersham County
  • Hall County
  • Hancock County
  • Haralson County
  • Harris County
  • Hart County
  • Heard County
  • Henry County
  • Houston County
  • Irwin County
  • Jackson County
  • Jasper County
  • Jeff Davis County
  • Jefferson County
  • Jenkins County
  • Johnson County
  • Jones County
  • Lamar County
  • Lanier County
  • Laurens County
  • Lee County
  • Lincoln County
  • Long County
  • Lowndes County
  • Lumpkin County
  • Macon County
  • Madison County
  • Marion County
  • McDuffie County
  • McIntosh County
  • Meriwether County
  • Miller county
  • Mitchell County
  • Monroe County
  • Montgomery County
  • Morgan County
  • Murray County
  • Muscogee County
  • Newton County
  • Oconee County
  • Oglethorpe County
  • Paulding County
  • Peach County
  • Pickens County
  • Pierce County
  • Pike County
  • Polk County
  • Pulaski County
  • Putnam County
  • Quitman County
  • Rabun County
  • Randolph County
  • Richmond County
  • Rockdale County
  • Schley County
  • Screven County
  • Seminole County
  • Spalding County
  • Stephens County
  • Stewart County
  • Sumter County
  • Talbot County
  • Taliaferro County
  • Tattnal County
  • Taylor County
  • Telfair County
  • Terrell County
  • Thomas County
  • Tift County
  • Toombs County
  • Towns County
  • Treutlen County
  • Troup County
  • Turner County
  • Twiggs County
  • Union County
  • Upson County
  • Walker County
  • Walton County
  • Ware County
  • Warren County
  • Washington County
  • Wayne County
  • Webster County
  • Wheeler County
  • White County
  • Whitfield County
  • Wilcox County
  • Wilkes County
  • Wilkinson County
  • Worth County
- select a option -
Field is required!
Field is required!
Additional Copies

Number of additional copies needed. A record search and first copy are $25. Each additional copy is $5. The maximum copies that can be ordered is 15.
-
+
You must enter a quantity of 1 or greater
You must enter a quantity of 1 or greater
Cause of death
Do you want to include the cause of death on your certificate?
Field is required!
Field is required!