Who can apply for a death certificate?

The application lists the person named in the record, parents, siblings, child, spouse, grandparent, stepparent, legal guardian, or representative as eligible applicants.

What information does the application ask for?

It asks for the deceased person’s name, date and place of death, and the applicant’s name, mailing address, telephone number, relationship, reason for the request, signature, and date.

Do I need a notary for the Application for Death Certificate?

No. The application is signed and dated without a notary, and it does not mention any attachment or related step that must be notarized or sworn.

How do I submit the death certificate application?

The form lists the Duval County Clerk at P.O. Box 248, San Diego, TX 78384. It lists a $21 charge for a death certificate and $4 for each additional copy.

Duval County, TX · Duval County

No notary required

Application for Death Certificate

This application lets eligible relatives or legal representatives request a death certificate from the Duval County Clerk.

At a glance

Issued by: City of Duval County · Duval County, Duval County, Texas
Notarization: Not required: file this form without a notary.
Official source: co.duval.tx.us
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this application to request a death certificate from the Duval County Clerk. It asks for the person’s name, date and place of death, the applicant’s contact information and relationship to the person, and the purpose for the request. The form says incomplete applications will be returned and lists charges for a death certificate and additional copies.

Who needs it

An eligible relative, legal guardian, or representative seeking a death certificate from the Duval County Clerk needs this application.

How to submit it

The form lists Araseli B. Lichtenberger, Duval County Clerk, at P.O. Box 248, San Diego, TX 78384. It lists $21 for death certificates and $4 for additional copies.

About notarization

This application is signed and dated without a notary; the document does not mention any attachment or related step that must be notarized or sworn.

How to submit this form

1
Download the Application
Download the Application for Death Certificate from this page.
2
Complete the Application
Fill in all relevant fields, including the record details, applicant information, relationship, and purpose.
3
Sign and Date
Sign and date the application. The form does not mention any required attachment.
4
Submit to the County Clerk
Send it to the Duval County Clerk at P.O. Box 248, San Diego, TX 78384; the form lists charges for certificates and additional copies.

Frequently asked questions

Who can apply for a death certificate?: The application lists the person named in the record, parents, siblings, child, spouse, grandparent, stepparent, legal guardian, or representative as eligible applicants.
What information does the application ask for?: It asks for the deceased person’s name, date and place of death, and the applicant’s name, mailing address, telephone number, relationship, reason for the request, signature, and date.
Do I need a notary for the Application for Death Certificate?: No. The application is signed and dated without a notary, and it does not mention any attachment or related step that must be notarized or sworn.
How do I submit the death certificate application?: The form lists the Duval County Clerk at P.O. Box 248, San Diego, TX 78384. It lists a $21 charge for a death certificate and $4 for each additional copy.

Need something notarized?

This Application for Death Certificate doesn’t need a notary, but Texas residents can notarize other documents online with a commissioned online notary.