Judith Basin County, MT · Judith Basin County
Death Certificate Application
This application lets a person request a certified or uncertified death certificate from Montana vital records by providing details about the deceased and the reason for the request.
At a glance
- Issued by
- City of Judith Basin County · Judith Basin County, Judith Basin County, Montana
- Notarization
- Not required: file this form without a notary.
- Official source
- chk.930.myftpupload.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request a death certificate and state whether you need a certified or uncertified copy. It asks for the deceased person’s identifying details, your reason for requesting the record, your contact information, and your signature. The form lists a $7 fee for each certified copy and requires identification with the request.
Who needs it
Anyone requesting a death certificate can use this application and must provide identification and the reason for needing the copy.
How to submit it
Mail the completed application and photocopies of both sides of the required identification to the Montana Office of Vital Statistics, 111 N. Sanders, Room 209, P.O. Box 4210, Helena, MT 59604-4210, or contact the Fergus County Clerk & Recorder at the listed address.
About notarization
This application is signed without a notary; the signer provides the required identification and signs the applicant signature line.
How to submit this form
- 1
Download the Application
Download the Death Certificate Application PDF.
- 2
Complete the Application
Enter the deceased person’s details, the record type and number of copies, your reason, contact information, and signature.
- 3
Gather Identification
Include photocopies of both sides of the required identification with your request.
- 4
Submit the Request
Mail the application and identification copies to the Montana Office of Vital Statistics address printed on the form.
Frequently asked questions
- Who can request a death certificate?
- The form says anyone may request a certified copy by submitting a completed application, establishing their identity, and stating the reason for needing the copy.
- What information does the application request?
- It asks for details about the deceased, the type and number of copies requested, the reason for the request, your delivery address, daytime telephone number, and signature.
- Do I need a notary for the Death Certificate Application?
- No. The application is signed without a notary; provide the required identification and sign the applicant signature line.
- How do I submit the Death Certificate Application?
- Mail the application and photocopies of both sides of the required identification to the Montana Office of Vital Statistics at the address printed on the form.