Transcript of Death Record
This form is filled out on behalf of the deceased.

Please note that there is an administrative fee of $100 for each transcript.
Kindly submit your payment using the following link: MINISTRY FORMS
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Applicant's email

*

Applicant's phone number

*

First Name

*

Last Name

*
Place of Birth *
City, State (or City and Country, if outside the US)
Last Address *
Street Address, City, State & ZIP Code
Date of Death *
MM
/
DD
/
YYYY
Date of Burial *
MM
/
DD
/
YYYY
Place of Burial *
In which Language do you prefer this certificate to be issued? *
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