ID Requirements must be met before your certificate is issued. You will be able to provide your ID right after submitting this application, or you can use the link we email you to upload it at a later time.
Items with an asterisk are required fields.
Enter the city or town where the death occurred. If unsure, choose the city where the hospital or facility was located.
Important: Choose the relationship that exactly matches your relationship to the person on the certificate.
Select the closest option so we can prepare the correct certificate type.
Name on the death certificate
Enter it as it appears on the certificate. The records office uses it to find the right record.
Anything else that helps locate the record (optional)
The agency searches its index with these details. Leave anything blank if you don't know it. It won't hold up your order.
Used only to help the agency find the right record.
Deliver To
The certificate must be mailed to you, the requestor.
Shipping Address
Contact Information
Government applications require a phone number.
Your ID verification link and all order updates go to this address.
Important: Most banks, insurers and agencies each keep their own certified copy. Additional certified copies are often required for:
Important: Does not include delivery times.
Delivery: Tracked USPS First-Class Document Delivery - Free
Texas State Agency Fee: TBD
Important: Delivery time frames are not guaranteed and delivery to remote areas may take longer.
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Visa and Mastercard accepted.
IMPORTANT: The total price will be calculated and shown once all required fields on this order form have been completed.
Type your full name in the field below. Typing your full name serves as your signature and confirms that you have read and agreed to all of the provisions above. It also affirms that all information provided on this order form is complete and accurate, and that you are an authorized individual to obtain the requested vital certificate.
Before submitting your order, please double-check that your information above is accurate.
Mistakes can cause delays or even cause your order to be cancelled.
Almost there. The 'Certificate Information' section needs your attention.
Still needed: county, city.
Then finish About You; Deceased; Shipping Address; Copies; Credit Card; Verify Order.
What happens next
Order total
TBD