Vital Statistics Form for Preplanning

Your Contact Information

Information about the Person You are Planning For

Name & Birth Information

Residence

Marital & Occupation Information

Ethnicity Information

Education & Military Service

Parents' Information

Official Certification

This form is used to complete the death certificate, which is a legal document and filed with the State of Florida. It is therefore important to fill completely and accurately with the proper spelling of names and places. Corrections to the death certificates require 6 to 8 weeks and there are fees that apply.

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