ORDER FORM - Death Records Search(es)

Please use this online form to order Pennsylvania death certificate research. Research fee is $10 per name. Fees are non-refundable so please be careful when checking indexes for birth/death date, name, and certificate number. Having trouble understanding the indexes? For an additional fee of $10 we will search a five year period in addition to searching for the cert. This brings the total to $20 per name. ►To pay by PayPal... simply enter the appropriate email address and we will send a PayPal invoice when the searches are completed. ►To pay by check... print a hard copy of this form (using your browser's "print" command) and mail it and your check to: Stephanie Hoover, P. O. Box 4921, Harrisburg, PA 17111. PLEASE NOTE: you must provide an email address for delivery of the digital images. If you have no email address and we must print and mail your certificates, the per-certificate fee is $12. PLEASE NOTE... While we strive for a 14-21 day turnaround, orders including more than five searches may take longer due to the wait times at the facility and other factors beyond our control. If delays are expected, you will be notified.
* Required






Never submit passwords through Google Forms.