Alabama Death Certificate Application Form PDF 2024

Alabama Death Certificate Application Form PDF 2023, Alabama death certificate application form, Alabama death certificate application form online, alabama death certificate pdf, change on death certificate alabama, alabama death certificate portal, free death records alabama, Alabama Death Certificate Form PDF, Death Certificate Application Alabama, Alabama Death Certificate Form Download

Alabama Death Certificate Application Form PDF 2023, Alabama death certificate application form, Alabama death certificate application form online, alabama death certificate pdf, change on death certificate alabama, alabama death certificate portal, free death records alabama, Alabama Death Certificate Form PDF, Death Certificate Application Alabama, Alabama Death Certificate Form Download
Alabama Death Certificate Application Form PDF 2023

Alabama Death Certificate Application Form Online

dentification is required of any applicant requesting a restricted Alabama vital record (birth certificate less than 125 years from the date of birth or death certificate less than 25 years from the date of death). The applicant must submit a completed request and one form of
identification from the Primary ID list below. In the event the applicant is unable to provide identification from the Primary ID list, he/she may provide two different forms of identification from the Secondary ID list.

If the applicant designates another individual to pick up a restricted certificate on his/her behalf, both the applicant and the designee must provide acceptable identification. The completed request, as well as a copy of all identification submitted, will be maintained by the vital records office which processes the request.

Alabama Death Certificate Application Form PDF 2023

The fee for a birth, death, marriage or divorce record search is $15.00, which includes the cost of one certified copy OR Certificate of Failure to Find. For additional copies of the same record ordered at the same time, the fee is $6.00 each. For information on how to expedite a document, call 334-206-5418. Amendments, adoptions, legitimations, and delayed certificates must be processed through the Center for Health Statistics.

The fee is $20.00 to amend a record or file a delayed certificate which also covers the cost of one certified copy of the record. The fee is $25.00 to prepare a new certificate of birth after adoption or legitimation which also covers the cost of one certified copy of the record. Make check or money order payable to the “State Board of Health.” Fees are non-refundable. Do not request two different types of certificates on the same form. PRINT ALL INFORMATION LEGIBLY. You must complete & sign the applicant section or your request cannot be processed.

How To Download Alabama Death Certificate Application Form

Alabama Death Certificate Application Required Documents List

Primary IDs Including PHOTO (need at least one, current, expired no more than 60 days) Secondary IDs (need at least two)

  • Alabama Driver’s License
  • Out-of-State Driver’s License
  • State-Issued Non-Driver ID
  • U.S. or Foreign Passport
  • U.S. Certificate of Naturalization
  • Certificate of Citizenship
  • U.S. Military ID
  • Work ID (If applicant is employee of agency/company making request)
  • Alien Resident Card (Temporary or Permanent)
  • U.S. Employment Authorization Card
  • Citizenship ID Card
  • Tribal ID
  • Pilot’s License
  • Boating License
  • Concealed Weapons License
  • Ex-Felon ID
  • Inmate ID issued by the U.S. Dept of
  • Justice w/ following documentation:
    o Supporting documents from institution if inmate is still in custody, letter of release from institution if inmate has been released
  • School ID (Must include current school term)
  • Alabama Voter Identification Card

Secondary IDs (need at least two)

  • Expired, Government-Issued ID
  • Utility Bill (No more than 6 months old)
  • Work ID (If applicant is making personal request)
  • Vehicle Registration or Vehicle Title
  • Property Tax Bill
  • Military Discharge (DD Form 214)
  • Voter Registration Card
  • Health Insurance Card
  • Social Security Correspondence (not Card)
  • U.S. Selective Service Card
  • Recent DMV Receipt for Fines Paid
  • Fishing or Hunting License
  • Copy of Police Report or other official documents which support theft, in cases where individual’s ID has been stolen
  • Autism Spectrum Card
  • Immunization (Shot) Record

In special cases where applicant is unable to provide any of these documents, please contact CHS at 334.206.5418.

Alabama Marriage Certificate Application Form PDF 2023
Alabama Birth Certificate Application Form PDF

Alabama Death Certificate Records Available

The Alabama Center for Health Statistics began filing death certificates in 1908 for persons who died in Alabama.

Alabama Death Certificate Restrictions

By Alabama law, death certificates are confidential records with restricted access for 25 years from the date of death. Death certificates more than 25 years old may be obtained by anyone upon payment of the proper fee. Death certificates less than 25 years old may be obtained by the following persons, upon payment of the proper fee:

  • Mother or father of person named on certificate
  • Husband or wife of person named on certificate
  • Son or daughter of person named on certificate
  • Sister or brother of person named on certificate
  • Grandchild of person named on certificate when demonstrating entitlement
  • Legal representative of family or estate
  • Informant listed on death certificate as providing information

Alabama Death Certificate Identification Requirements

Effective May 1, 2017, identification will be required to obtain a restricted death certificate. View ID Requirements for more information.

Alabama Death Certificate Cost

The fee to search for a death certificate is $15.00, which includes one certified copy of the death certificate or a “Certificate of Failure to Find.” For each additional copy of the certificate ordered at the same time, the fee is $6.00. Checks or Money Orders should be made payable to the State Board of Health. Please do not send cash. Fees are not refundable. Additional fees are required for expedited service.

Alabama Death Certificate Information Required

Please provide as much of the following information as possible for us to locate the death certificate:

  • Full legal name of deceased
  • Date of death
  • County (or city) of death
  • Sex
  • Social security number
  • Date of birth or age at death
  • Race
  • Name of spouse
  • Names of parents
  • Your name
  • Your signature
  • Your relationship to the person whose certificate you are requesting
  • Address where the certificate is to be mailed
  • Your daytime phone number

How to Obtain a Alabama Death Certificate

  • Download Mail-In Application (also available in Spanish)
  • By Mail: Send the above information and the appropriate fee to:
    Alabama Vital Records
    P.O. Box 5625
    Montgomery, Alabama 36103-5625
  • In Person in Alabama: You may go to any county health department in the State of Alabama to obtain a certified copy of an Alabama death certificate. Most death certificates can be issued while you wait. A map showing locations of county health departments where vital records may be obtained is available. View Reference Map or visit Locations.
  • To Order a Certificate Online: You may order certificates through the service provider VitalChek using a major credit or debit card. Note that there are additional fees for using this service and for upgrading to UPS shipping. Order a Certificate Online.

Corrections/Changes to Alabama Death Certificate

Errors on death certificates may be corrected through an amendment process and changes may be made by the certifier to the medical certification. For more information, view the Death Certificate Corrections/Changes page.

Food Stamp Application Form Online Alabama
Alabama Medicaid Income Limits 2023

Apostille and Exemplified Copies

Apostille and Exemplified copies of vital records are routinely required for foreign use. The Apostille and Exemplified copies consist of an Alabama birth, death, marriage, or divorce certificate signed by the State Registrar and an additional certification signed by the Alabama Secretary of State. Certain restrictions apply to Apostille and Exemplified copies of birth and death certificates. For more information on Apostille and Exemplified copies, view the Apostille and Exemplified page.

Death Not in Alabama

The National Center for Health Statistics has information on vital records for all states. For more information, view the Link to Other State Information page.

Questions For Alabama Death Certificate

If you have questions or would like information on expediting a certified copy of a death certificate, please call (334) 206-5418.

Changes/Corrections to the Medical Certification Information; the Date of Death/Pronouncement; and/or Time of Death/Pronouncement

Only the certifier (physician, certified registered nurse practitioner, certified nurse midwife, coroner or medical examiner) who signed the death certificate may make changes/corrections to this information on the death certificate. The application referenced above cannot be used to request changes/corrections to these items. However, instructions for requesting these changes/corrections are listed below.

Changing a Cause of Death from “Pending”

When the certifier receives the autopsy report, he/she should complete a Supplemental Medical Certification.

Changing Information on a Cause of Death or Other Changes to the Medical Certification Section

The certifier may make changes or corrections to the medical certification section of the death certificate by completing a Supplemental Medical Certification.

Completing a Supplemental Medical Certification

In most cases when the death certificate was filed through the Electronic Death Registration System (EDRS), the certifier may be able to complete an electronic Supplemental Medical Certification through EDRS. If the certifier needs to complete a paper Supplemental Medical Certification, he/she should contact the Center for Health Statistics at 334.206.2641 to request a Supplemental Medical Certification Request Form (HS-90) or fax a request to 334.206.2659. When the Supplemental Medical Certification Request Form has been completed, it should be mailed to

Center for Health Statistics
Special Services Division
Death Amendment Clerk
P.O. Box 5625
Montgomery, Alabama 36103-5625

Changing a Date of Death/Pronouncement and/or Time of Death/Pronouncement

The certifier must submit a signed and dated business letter providing sufficient information to locatethe death certificate and the specific changes which should be made to the death certificate. Due to the legal issues involved with the amendment of some items, questions regarding amendments to a death certificate should be referred to 334.206.2641.

Alabama Food Stamp Eligibility 2023
How To Apply For Food Stamps (SNAP benefits)

APPLICATION TO CHANGE AN ALABAMA BIRTH OR DEATH CERTIFICATE

The fee to amend (correct) an Alabama birth or death certificate is $20.00 which includes one certified copy of the amended certificate. The fee for Paternity Determinations (Legitimations) and/or Adoptions is $25.00 which includes one certified copy of the new certificate. Additional copies of the same record ordered at the same time are $6.00 each. There is an additional fee of $15.00 to expedite a request.

Make check or money order payable to “State Board of Health.” Do not send cash. Fees are non-refundable. Indicate the type of certificate you are requesting to be corrected. PRINT the information identifying the certificate in the appropriate section. Only one request may be made per form. You must complete and sign the applicant section or your request cannot be processed.

APPLICATION TO CHANGE AN ALABAMA BIRTH OR DEATH CERTIFICATEDownload

Changes/Corrections to the Personal/Demographic Information – Application 1

Personal/demographic information may be corrected through the amendment process by the funeral home, the informant, an immediate family member listed on the record or others with an appropriate legal interest. The “Application to Change an Alabama Birth or Death Certificate” should be completed, indicating the changes to be made to the death certificate.

Legal documentation or court action may be required to process the amendment. The original information on the death certificate will not be changed. The amendment will be an affidavit issued with the original certificate indicating the items which were corrected. The fee to amend a death certificate is $20.00 which includes one certified copy of the certificate.

Additional copies of the same record ordered at the same time are $6.00 each. There is an additional fee of $15.00 to expedite a request. Mail the completed application referenced above with valid identification and the appropriate fee to the address provided in item #3 below.

APPLICANT SECTION (THIS SECTION MUST BE COMPLETED)

Birth certificates less than 125 years old and death certificates less than 25 years old are restricted records. Valid identification must be submitted with a request for a restricted record. You must be an immediate family member OR demonstrate a legal right to the record in order to obtain a copy of the record (§ 22-9A-21). Anyone falsely applying for a record is subject to a penalty upon conviction of up to three months in the county jail or a fine of up to $500. Code of Ala. 1975, § 13A-10-109. By signing, you are certifying you have a legal right to the record requested.

Leave a Comment

Your email address will not be published. Required fields are marked *

Recent post