1. the death certificate as signed by a physician and then co-sign the certificate if it is correctly and accurately completed. DECEDENT’S LEGAL NAME (Include AKA’s if any) (First, Middle, Last) 2. Notify Family, Friends, and Associates Contact by phone and notify the immediate family, close friends, business colleagues and employer. Division of Vital Records Death Certificate Processing Unit PO Box 1528 New Castle, PA 16103. Who can apply for a death certificate? BIRTHPLACE (City and State … Death certificates must be completed by a medical practitioner (doctor, hospice nurse, medical examiner, coroner, etc.) A death certificate must be registered with the local and or state vital records office when a person passes away. DATE OF BIRTH (Mo/Day/Yr) 6. It does not have these records for New York City (the boroughs of Manhattan, Kings (Brooklyn), Queens, Bronx, and Richmond (Staten Island)). You must sign your application. UNDER 1 YEAR 4c. Specific Instructions Name of Decedent If you are filing a joint return for spouses who are both deceased and you are required to file Form 1310 (see Who Must File, earlier), you must do the following. If death follows a live birth, a death certificate is completed. family member). 559, Survivors, Executors, and Administrators. and funeral director, licensed burial agent, or person acting as such (i.e. Obtain Death Certificate Obtain several copies of the decedent's death certificate, which you'll need for his or her employer, life insurance companies, and/or the decedent's attorney for legal procedures. UNDER 1 DAY (Years) Months Days Hours Minutes 5. ... Others who can sign a death certificate include … STATE FILE NO. You must complete an Application for Death Certificate. This typically takes a few days and copies will be quickly available to you for use in settling accounts and holdings of the deceased. In Part I, the certifier must describe the immediate cause of death -- the conditions and sequence of events that led up to the death. You must show valid identification. Vital Records has death records (since 1881) for all of New York State except New York City. What is the Origin of the Death Certificate? SOCIAL SECURITY NUMBER 4a. You must complete the following requirements to receive a death certificate. Death certificates are public record, so any member of the public can obtain a copy at the city or town clerk's office where the death occurred. SEX 3. A separate fetal or stillbirth certificate is used for stillbirth cases, in which live birth did not occur. A death certificate is a permanent public record of the disease or injury responsible for the death (the cause of death) and the explanation of how the cause arose (the manner of death). 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