Vital Statistics Form

Necessary Forms

Step 1 of 3

  • Vital Statistics Form

    This form must be typed or printed clearly.
  • Date Format: MM slash DD slash YYYY
  • :
  • Date Format: MM slash DD slash YYYY
  • (Type of business, eg. factory, manufacturer)
  • (if wife, give maiden name)
  • (Do not use hispanic)
  • (8th Grade or Less)(High School)(Degree AS, BS, MA, PHD)
  • 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.

    I certify that to the best of my knowledge that all information is true and correct.
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