Vital Records

Death Certificate Request Form

Filling out this form will allow you to generate a death certificate request form on screen, which you can then print and mail to Vital Records along with the appropriate fee. You may only request a death certificate for deaths in Georgia.

Step One:

Please answer these questions about the deceased person for whom you are requesting a death certificate. This information will be used by the Vital Records department to search for the death certificate.

Information about person named on certificate

Name, Gender and Race

First name
Middle name
Last name
Age at Death
Year of Birth
Race
Gender

Date of Death

 Month of death
 Day of death

Year of death (1919-Present only; for more info, see FAQ)

Place of Death

Death certificates available only for deaths in Georgia.

Hospital
City
 County (Georgia only)

If Married, Name of Spouse

Spouse's first name
Spouse's last name

Other Information

Funeral Home Name

Step two: Number of Copies

Please select the number of copies of the certificate you will be selecting.

The $15.00 search fee includes a certified copy if the record is found, but is not refundable if the certificate is not on file. Each additional copy paid for at the same time is $5.00. Multi-year searches are $15.00 for a 3 year period, and include a certified copy if located.

Number of Copies

 Order death certificate search and, if found, one (1) certified death certificate

 Order multi-year death certificate search and, if found, one (1) certified death certificate

Number of additional certified death certificates desired:

The above fees have been established in accordance with Chapter 31-10 of the Official Code of Georgia.

Step Three: Requestor mailing information

Please fill out these fields. This information wil be used to determine the mailing address for the certificate.

Your Mailing Address

Your first name
Your last name
Your street address, line one
Your street address, line two (if needed)
City
State (2-letter abbreviation)
Zip Code (plus-4, if known)

Step Four: Instructions for submitting form

After you press the "Generate Form" button below, you need to:

  • Verify that the data on the form is correct,
  • Print the form, and
  • Sign the form.
  • Enclose certified check or money order made payable to Vital Records Services and send to:

    Vital Records
    2600 Skyland Drive, NE
    Atlanta, GA 30319

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