How to Fill Out Alaska Death Certificate Request Form

Alaska Death Certificate Request Form at a glance

What it is: The Alaska Death Certificate Request Form is only for the purpose of the financial transaction and location of the requested record.

Where and when to file: Complete this form and submit it via mail, fax, or in-person. Include payment and a copy of your ID. Choose one method of submission. If you submit your requests via more than one method, you will be charged for each request.

What to bring and attach to Alaska Death Certificate Request Form

Accepted forms of ID: Driver's license, State-issued ID, Passport, Military ID, Tribal/BIA card (with picture). If expired, must be less than one year. Please send a photocopy, not the original. If you have none of the accepted forms of ID, please contact (907) 465-3391 for assistance.

Requests that do not include an applicant signature, copy of a government issued ID, and payment will not be processed.

A filled-in Alaska Death Certificate Request Form example: a widow orders one death certificate

Alaska Death Certificate Request Form example filled out, example: a widow orders one death certificate
Jane Sample, widow of John Sample, requests his Alaska death certificate. She orders one copy, pays by check, so Credit / Debit Card stays empty. The picture shows the filled form, and none of its entries is real. Jane is the entitled relative, the spouse listed on the certificate, married in Alaska, so Legal Docs Included is left blank because no marriage certificate is needed. Her purpose is personal records, so Government benefits, Legal purposes and Other stay empty. She picks USPS Priority Mail with tracking and no signature, so the other two shipping choices stay empty. No amendment, apostille or white copy is ordered, so those rows stay empty. Total adds the certificate fee and the shipping fee. She signs the Applicant signature line by hand and includes a copy of her ID, so ID Included is ticked and Check or Money Order is ticked.

How to fill out Alaska Death Certificate Request Form, box by box

Applicant Information

Alaska Death Certificate Request Form example filled out, applicant Information

Under Applicant Information, enter the Applicant name, the Mailing name (if different), the Email address, the Phone number and the Mailing address (Street / PO Box) and (City, State, Zip).

Choose your relationship to individual named on the record

Alaska Death Certificate Request Form example filled out, choose your relationship to individual named on the record

Choose your relationship to individual named on the record: Entitled relative (see instructions page) or Legal representative (with documentation).

Purpose of request

Alaska Death Certificate Request Form example filled out, purpose of request

Purpose of request: Personal records, Government benefits, Legal purposes, Other (please specify).

Information needed to locate the record

Alaska Death Certificate Request Form example filled out, information needed to locate the record

Under Information needed to locate the record, enter the Full name on the record (first) (middle) (last), the Date of death, the City or village of death and the Date of birth.

Mother / Parent A's and Father / Parent B's name prior to marriage

Alaska Death Certificate Request Form example filled out, mother / Parent A's and Father / Parent B's name prior to marriage

Enter the Mother / Parent A's name prior to marriage and the Father / Parent B's name prior to marriage, each as (first) (middle) (last).

Order information

Alaska Death Certificate Request Form example filled out, order information

Under Order information, enter the Count and the Cost.

Certified death certificates: $30 first copy, $25 each additional copy of the same record ordered at the same time (checked November 8, 2026).

Paternity, correction, adoption, or legal name change processing fee: $30 (checked November 8, 2026).

Apostille fee: $12 first copy, $2 each additional copy; for foreign country use only (checked November 8, 2026). Enter the Apostille country (foreign countries only).

Public Record White Copy: $15, use for deaths that occurred more than 50 years prior to application date (checked November 8, 2026).

Domestic shipping information

Alaska Death Certificate Request Form example filled out, domestic shipping information

Domestic shipping information (select one or call 907-465-3391 for information on international shipping).

Regular mail (no fee, no tracking).

USPS Priority Mail® with tracking: $13.00 (checked November 8, 2026).

USPS Priority Mail® with tracking and signature on delivery: $18.00 (checked November 8, 2026). Alaska Vital Records is not responsible for items once they have been shipped.

If your documents cannot be delivered, are returned, or are lost, you will need to submit a new request along with your ID and payment.

Total payment to be submitted

Alaska Death Certificate Request Form example filled out, total payment to be submitted

Enter the Total payment to be submitted.

Did you sign and include a copy of your ID?

Alaska Death Certificate Request Form example filled out, did you sign and include a copy of your ID?

The Applicant signature is required. Did you sign and include a copy of your ID? Did you include legal documentation if needed (see instruction page)?

Payment information

Alaska Death Certificate Request Form example filled out, payment information

Payment information (only complete for mail or fax applications). Refunds are not processed for duplicate orders.

Check or Money Order (made out to Alaska Vital Records Office): There will be a $30 NSF fee for returned checks (checked November 8, 2026).

Cash (walk-in ONLY).

Credit / Debit Card (accepted: Visa, MasterCard, Discover, and American Express): complete the Name on card, Expiration date, Billing ZIP Code, Card Number and Cardholder signature (required).

Who may obtain a death certificate, mailing address, walk-in office hours, correction requests and expedited service

Who may obtain a death certificate?

Who may obtain a death certificate? Spouse listed on the certificate. Provide a copy of your marriage certificate if you were not married in Alaska. Parent(s) listed on the death certificate. Provide a copy of the decedent's birth certificate listing the same parent(s) if the decedent was not born in Alaska. Child(ren) of decedent. Provide a copy of the child's birth certificate with the decedent listed as a parent if the child was not born in Alaska. Sibling of decedent. Provide a copy of the sibling's birth certificate with at least one parent in common to the decedent if the sibling was not born in Alaska. Office of Public Advocacy with certified Delegated Power of Conservatorship/Guardianship papers. Attorneys and Government Agencies must have a letter on their letterhead stating who they represent and why the record is needed. Supporting original certified or notarized documentation must be provided. Alaska Vital Records will determine entitlement.

Mailing Address and Fax Number

Mailing Address and Fax Number: Health Analytics and Vital Records, P.O. Box 110675, Juneau, Alaska 99811-0675. Fax orders: (907) 465-3618.

Juneau and Anchorage Office Walk-in Office Hours

Juneau Office Walk-in Office Hours: Mon - Fri, 8:30am - 4:30pm, 5441 Commercial Blvd., Juneau, Alaska 99801. Phone: (907) 465-3391.

Anchorage Office Walk-in Office Hours: Mon - Fri, 8:30am - 4:30pm, 3901 Old Seward Hwy, Ste. 101, Anchorage, Alaska 99503. Phone: (907) 269-0991.

Death certificate correction requests

All death certificate correction requests must be mailed or hand delivered as original documents and/ or certified copies of forms are required. The standard processing time for these services is 3 months and expedited services are not available. For additional information on how to amend a death certificate, please contact the Special Services Unit at (907) 465-1200.

Expedited service

Expedited service is only available online through https://www.vitalchek.com/. Additional fees apply.

Sources

[1] Alaska Death Certificate Request Form (Revision 04/2026), Alaska Vital Records, Health Analytics and Vital Records (the Official source link on this page).

Alaska Death Certificate Request Form PDF Details

Requests that do not include an applicant signature, copy of a government issued ID, and payment will not be processed.

More than one method: if you submit your requests via more than one method, you will be charged for each request.

ID: accepted forms of ID, if expired, must be less than one year; please send a photocopy, not the original.

Entitlement: Alaska Vital Records will determine entitlement.

Lost documents: if your documents cannot be delivered, are returned, or are lost, you will need to submit a new request along with your ID and payment.

QuestionAnswer
Form NameAlaska Death Certificate Request Form
Form Length2 pages
Fillable?Yes
Fillable fields52
Avg. time to fill out9 min
EditionRevision 04/2026
Other namesAlaska death certificate request form, death certificate Alaska, State of Alaska death certificate, Alaska death records, Alaska Vital Records death certificate
Official sourceAlaska Death Certificate Request Form (Revision 04/2026)