Lewis and Clark County, MT · Lewis and Clark County

No notary required

Death Certificate Order Form

Applicants use this form to request certified or non-certified copies of a death certificate from the Lewis and Clark County Clerk and Recorder.

At a glance

Issued by
City of Lewis and Clark County · Lewis and Clark County, Lewis and Clark County, Montana
Notarization
Not required: file this form without a notary.
Official source
lccountymt.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The application requests details about the deceased, the record type and number of copies, the reason for the request, and the applicant’s contact information. Applicants must establish their identity; the form lists a signed photo ID or two other forms of ID as options, and includes an optional notary section. It states that certified copies cost $7 each and that fees are non-refundable.

Who needs it

Anyone requesting a death certificate copy from the county must complete the application, establish their identity, and state the reason for needing the copy.

How to submit it

Send the completed application to the County Clerk and Recorder, 316 N Park Ave, Rm #113, Helena, MT 59623. Include photocopies of both sides of identification when mailing your request and the stated fee in U.S. funds.

About notarization

A notary is not required if you provide the requested identification; the form offers notarization as an alternative, with a section for the signer and notary to complete.

How to submit this form

  1. 1

    Download the Form

    Download the Death Certificate Order Form.

  2. 2

    Complete the Application

    Enter the deceased’s details, requested record type and number of copies, reason for the request, and your contact information.

  3. 3

    Gather Identification

    Provide the identification described on the form; include photocopies of both sides when mailing your request.

  4. 4

    Submit to the County

    Send the application and fee in U.S. funds to the County Clerk and Recorder at the address listed on the form.

Frequently asked questions

Do I need a notary for the Death Certificate Order Form?
No, if you provide the required identification. The form says notarization is an alternative to providing a signed photo ID or two other forms of identification.
How do I submit the Death Certificate Order Form?
Send it to the County Clerk and Recorder at 316 N Park Ave, Rm #113, Helena, MT 59623. Include photocopies of both sides of your ID when mailing and the fee in U.S. funds.
What information does the application ask for?
It asks for details about the deceased, the record type and number of copies, the reason for the request, and the applicant’s mailing or delivery address, phone number, and signature.
What is the fee for a certified death certificate?
The form lists a fee of $7 for each certified death certificate and states that the fee is non-refundable.

Need something notarized?

This Death Certificate Order Form doesn’t need a notary, but if you have another Lewis and Clark County form that does, a commissioned online notary can help.