Date of death (month, day and year)
If the date of death is unknown, give an approximate date of death or a series of years to
be searched i.e. 2003, 2004, 2005. We search 1 year @ $3.50 per year. If the
record is not located, this office retains the search fee.
Name of Funeral Home (if known)
City of Death
Reason for needing the certificate
Information needed about the person ordering the certificate:
Applicant's name - Signature and printed
State your relationship to the deceased
Mailing address
Daytime phone number
Identification is needed to obtain cause of death.
Identification includes:
State Picture ID
State Drivers License
Passport
Military ID
Note: Requests may be mailed or brought in person to the Vital Statistics Office.
Under Florida law, e-mail addresses are
public records. If you do not want your e-mail address released in
response to a public records request, do not send electronic mail to
this entity. Instead, contact this office by phone or in writing.
