Do I need a notary for the death record search application?

No. This application is signed without a notary; the signer signs and dates it, and the form does not identify any notarized or sworn attachment.

What identification should I include?

Submit a copy of current photo ID. If you do not have valid photo ID, the form describes alternative identity documents, including two documents with your name, one showing your current address.

Who may request a death record?

The form says records are available to people with a personal or property right interest in the deceased. Nonrelatives must include a letter or document from the office or agency that needs the certificate.

Pike County, IL · Pike County

No notary required

Application for Search of Death Record Files

Use this application to request a search of Pike County death record files and obtain a certified or eligible genealogical copy.

At a glance

Issued by: City of Pike County · Pike County, Pike County, Illinois
Notarization: Not required: file this form without a notary.
Official source: pikecountyil.org
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

The Pike County Health Department application requests details about the deceased, including name, place and date of death, and identifying information. Applicants provide their own contact information, relationship to the deceased, intended use, and a copy of current photo ID. The form states that nonrelatives must include a letter or document from the office or agency that needs the certificate.

Who needs it

Anyone requesting a search of Pike County death record files should complete this application and provide the required identification and supporting documents.

How to submit it

Mail the application to Pike County Health Department, 606 W. Adams Street, Pittsfield, IL 62363. Include a check or money order payable to the Pike County Health Department; do not send cash.

About notarization

This application is signed without a notary; the signer just signs and dates it, and the form does not identify any notarized or sworn attachment.

How to submit this form

1
Download the Application
Download the Pike County Health Department application for a search of death record files.
2
Complete the Application
Provide information about the deceased, your contact details, relationship to the person, and intended use.
3
Gather Required Documents
Include a copy of current photo ID. Nonrelatives must also include a letter or document from the office or agency that needs the certificate.
4
Mail the Application
Mail the application and check or money order to Pike County Health Department, 606 W. Adams Street, Pittsfield, IL 62363. Do not send cash.

Frequently asked questions

Do I need a notary for the death record search application?: No. This application is signed without a notary; the signer signs and dates it, and the form does not identify any notarized or sworn attachment.
How do I submit the death record search application?: Mail the completed application to Pike County Health Department, 606 W. Adams Street, Pittsfield, IL 62363. Include payment by check or money order, not cash.
What identification should I include?: Submit a copy of current photo ID. If you do not have valid photo ID, the form describes alternative identity documents, including two documents with your name, one showing your current address.
Who may request a death record?: The form says records are available to people with a personal or property right interest in the deceased. Nonrelatives must include a letter or document from the office or agency that needs the certificate.

Need something notarized?

This Application for Search of Death Record Files doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.