St. Joseph County, MI · St. Joseph County
Death Certificate Request Form
This form lets a requester ask the St. Joseph County Clerk’s Office for copies of a person’s death certificate.
At a glance
- Issued by
- City of St. Joseph County · St. Joseph County, St. Joseph County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- Original source unavailable. Use the archived PDF.
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form lets a requester ask the St. Joseph County Clerk’s Office for copies of a person’s death certificate. It asks for the requester’s name, number of copies, the deceased person’s name, date and place of death, signature, phone number, and billing or delivery address. The form lists a $20 charge for the first copy and $10 for each additional copy, and says personal checks are not accepted.
Who needs it
Anyone requesting copies of a person’s death certificate from the St. Joseph County Clerk’s Office can use this form.
How to submit it
Send the request to the St. Joseph County Clerk’s Office, P.O. Box 189, Centreville, MI 49032. The form lists a $20 charge for the first copy and $10 for each additional copy, and says no personal checks.
About notarization
This request form has no notary block; the requester signs it and provides the requested date and contact information.
How to submit this form
- 1
Download the Form
Download the Death Certificate Request Form.
- 2
Complete the Request
Print the requested information, including the deceased person’s name, date and place of death, and your contact and delivery details.
- 3
Sign the Form
Sign the request and enter the date.
- 4
Send It to the County
Mail the form to the St. Joseph County Clerk’s Office at P.O. Box 189, Centreville, MI 49032. The form says personal checks are not accepted.
Frequently asked questions
- What information does the Death Certificate Request Form ask for?
- It asks for the requester’s name, number of copies, the deceased person’s name, date and place of death, signature, phone number, and billing or delivery address.
- How do I submit the Death Certificate Request Form?
- Send it to the St. Joseph County Clerk’s Office, P.O. Box 189, Centreville, MI 49032. The form lists a $20 charge for the first copy and $10 for each additional copy; personal checks are not accepted.
- Do I need a notary for a Death Certificate Request?
- No. This request form has no notary block; the requester signs it and provides the requested date and contact information.