Alaska Death Certificate Form PDF Details

The State of Alaska offers a death certificate form to help with the process of recording a death. The form is available on the state website and can be filled out and submitted online or by mail. The certificate must be completed and filed within three days of the death, unless an extension is granted. The fee for filing a death certificate is $30.00. Instructions for completing the form are included on the website. Additional information about registering a death in Alaska can be found on the state website.

QuestionAnswer
Form NameAlaska Death Certificate Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesALASKA, NSF, unprocessed, alaska death certificate

Form Preview Example

ALASKA DEATH CERTIFICATE REQUEST FORM INSTRUCTIONS

PLEASE READ THESE INSTRUCTIONS CAREFULLY.

Incomplete applications or applications that do not include proper photo identification will be returned unprocessed.

·A spouse, parent, child, or sibling of a deceased person may obtain a certified copy of the death certificate. Proof of your relation to the decedent is required when submitting your application. Siblings will and children of the decedent will have to provide a copy of their birth certificate showing parental relationship to the decedent.

·A death certificate can also be furnished to a legal representative or to a person who provides documentation showing the death certificate is needed for the determination of property rights. If you are a legal representative, include a letter stating whom you represent and how you are related to the person named on the record.

·Use the full first, middle, and last names as they appear on the certificate when filling out the request form.

·We can only process requests for deaths that occurred in Alaska. For deaths that occurred outside of Alaska, requests must be sent directly to the appropriate state.

·ALL REQUESTS MUST INCLUDE A COPY OF GOVERNMENT-ISSUED PICTURE ID OF THE PERSON REQUESTING THE DEATH CERTIFICATE. Enlarge the copy and lighten it as much as possible to ensure it is clear and readable when sent to the Bureau, ESPECIALLY IF YOU ARE FAXING YOUR REQUEST. REQUESTS WITH DARK OR UNCLEAR COPIES OF IDs WILL BE RETURNED

UNPROCESSED. Your signature under the copied ID is also required.

The following are acceptable for identification purposes:

·A driver's license or official identification card issued by another state in the U.S., jurisdiction or territory, unexpired, or expired for not more than one year

·An unexpired U.S. or foreign passport.

·U.S. military identification or military dependent identification.

·If you are currently living in Alaska, a BIA or tribal identification card will also be accepted.

If you are unable to provide any of the above-mentioned forms of identification, please contact the Alaska Bureau of Vital Statistics at 907.465.3391 to speak with a customer service representative.

SUBMITTING YOUR REQUEST:

·Print and complete the request form and mail it or fax it to our office.

·Walk-in service is also available in Anchorage, Fairbanks, or Juneau. Please check our web site (http://dhss.alaska.gov/dph/ VitalStats/Pages/contacts/) for office hours and location.

·Vital records requests contain confidential information. Therefore, we highly recommend you mail or fax your request. E-mail, although convenient, is not secure and subject to fraud.

·Remember to sign your request and enclose the correct fees as well as a copy of picture ID.

·Expedited (Rush) requests may only be submitted by fax. Please fax your rush request to 907.465.3618.

·If faxing, call the Alaska Bureau of Vital Statistics to confirm receipt at 907.465.3391 Monday-Friday, 8 a.m. - 4 p.m. Alaska time.

PROCESSING TIMES:

·Requests sent by regular mail will normally be processed within 2 -3 weeks after receipt by the Bureau.

·Expedited (Rush) requests submitted with credit card payment will normally be processed within 3 working days after receipt. Expedited requests must be faxed to our office. Note that there is no overnight express delivery to or from Alaska. Express delivery takes at least two days each way.

·Normal processing times can be greater during periods of high volume. Please plan accordingly.

·Please allow for mailing time.

FEES:

·Alaska charges a search fee for records. Once an order is received and processed, the first $30 record search fee is not refundable. If you order multiple copies and no record is found, the fees for the extra copies will be refunded.

·The first copy of a certificate is $30.00 and additional copies are $25 for each copy of the same record ordered at the same time.

·Records requiring an Apostille: Death Certificates requiring authentication for a foreign country have additional fees. The additional charge is $12.00 for the first record, with $2.00 added for each additional copy of the same record. This includes the $2.00 fee for the Lt. Governor's office. The country that the record is being sent to must be noted on your request.

·All NSF checks will be sent to a collection agency. There will be a $30.00 charge for returned checks.

·Expedited (Rush) service requires an additional $11.00 fee. Orders may be processed by completing the request form and faxing it to

the Bureau of Vital Statistics. Please do not mail expedited requests to our office.

CONTACT INFORMATION:

·For additional information on obtaining Alaska Vital Records, please contact the Records Processing Unit in Juneau at 907.465.3391. (Rev. 04/13)

STATE OF ALASKA

DEATH CERTIFICATE REQUEST FORM

You may type directly on this form and print it or you may print the form first and then complete it by hand. If you enter the ordering information on this form the fees and shipping charges will automatically be calculated.

If completed by hand, be sure that all information is printed neatly and is legible.

Expedited (Rush) requests must be faxed to 907.465.3618 for processing. Do not mail expedited requests. Please call 907.465.3391 Monday-Friday, 8 a.m. to 4 p.m. Alaska time, to confirm the receipt of your fax.

Please read the instructions on the previous page. Incomplete or inaccurate requests or requests that do not include a copy of a government-issued ID with a signature below the ID will be returned unprocessed.

FULL Name of the Deceased:

 

 

 

 

 

 

 

 

City or Village of Death:

 

 

Date of Death:

 

 

 

 

 

 

 

 

 

 

 

 

Purpose of the request:

 

 

 

 

 

 

 

 

 

 

 

 

(Personal Records, Legal Purposes, Inheritance/Estate Settlement, Govt. Assistance/Benefits, Insurance/Pension, Retirement, etc. )

Your Relationship to the Deceased:

 

 

 

 

 

(Spouse, parent, child, sibling, legal representative, etc. )

 

Signature of the Person

 

Contact Phone Number:

 

 

 

 

 

Requesting the Record:

 

 

 

 

 

 

 

 

 

ADDITIONAL HELPFUL SEARCH CRITERIA BUT NOT REQUIRED

 

 

FULL Name of the Deceased's Mother before she was first married:

 

 

 

 

 

 

 

 

FULL Name of the Deceased's Father:

Date of Birth of the Deceased:

 

# Copies

You may enter the ordering information in this form and the fees

 

Amount

Mail this form with a money order, a check, or

 

and shipping charges will automatically be calculated.

 

credit card information. Checks must be

 

 

Death Certificates: $30 first copy; $25 each additional copy of

 

 

 

 

 

 

 

 

 

preprinted with your name and address. Please

 

 

the same record ordered at the same time.

 

 

 

note there is a $30.00 NSF fee for returned checks.

 

 

Apostille fee (please see instructions for fees)

 

 

 

Expedited (Rush) requests must be faxed to

 

 

 

 

 

 

 

Country needed for:

 

 

 

 

 

 

 

 

 

907.465.3618 for processing (Add $11.00).

 

 

 

 

 

 

 

 

Expedited (Rush) Service* (Add $11.00)

 

 

 

Make Checks Payable to:

 

 

*Does not include shipping fees.

 

 

 

 

 

 

 

 

Bureau of Vital Statistics

 

 

Ship by:

 

 

Regular Mail (no additional fee)

 

 

 

P.O. Box 110675

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Juneau, AK 99811-0675

 

 

(Call our office

 

Priority Mail (Add $5.60)

 

 

 

Phone: (907) 465-3391

 

 

 

Registered Mail (Add $11.20)

 

 

 

 

 

for shipping

 

 

 

 

 

 

 

Express Mail (Add $19.95)

 

 

 

 

 

 

 

 

 

Fax: (907) 465-3618

 

 

rates outside

 

 

 

 

 

 

 

the U.S)

 

 

FedEx (No PO Box / Add $18.50)

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE ENTER YOUR MAILING ADDRESS BELOW

Name:

Street:

City, State, Zip

Credit Card Information (When paying by credit card)

Name on credit card:

Billing address:

Number:

 

Expiration date:

Visa

MasterCard

Discover

Cardholder signature (required):

 

(Rev. 04/13)

How to Edit Alaska Death Certificate Form Online for Free

Making use of the online tool for PDF editing by FormsPal, you can easily fill in or modify alaska death records here and now. Our tool is constantly developing to deliver the very best user experience possible, and that is due to our commitment to continuous improvement and listening closely to testimonials. In case you are seeking to get started, this is what you will need to do:

Step 1: Open the PDF form in our tool by clicking the "Get Form Button" above on this webpage.

Step 2: Once you access the tool, you will get the document all set to be filled out. Other than filling out various blank fields, you may as well do various other actions with the Document, that is adding custom text, editing the original text, adding images, affixing your signature to the form, and more.

Filling out this document generally requires thoroughness. Make sure that all mandatory areas are filled out accurately.

1. It's important to complete the alaska death records properly, so take care when filling in the parts that contain all of these blanks:

Find out how to fill in alaska death certificate request form stage 1

2. When the previous part is completed, it's time to insert the required specifics in FULL Name of the Deceased, Date of Death, City or Village of Death, Purpose of the request, Personal Records Legal Purposes, Your Relationship to the Deceased, Signature of the Person Requesting, Spouse parent child sibling legal, Contact Phone Number, ADDITIONAL HELPFUL SEARCH CRITERIA, FULL Name of the Deceaseds Mother, FULL Name of the Deceaseds Father, Date of Birth of the Deceased, Mail this form with a money order, and Copies allowing you to progress further.

Part # 2 in filling in alaska death certificate request form

3. The following section is about Mail this form with a money order, Make Checks Payable to, Bureau of Vital Statistics PO Box , Phone Fax , Country needed for Expedited Rush, Ship by, Call our office for shipping rates, Regular Mail no additional fee, Registered Mail Add , Express Mail Add , FedEx No PO Box Add , Total, PLEASE ENTER YOUR MAILING ADDRESS, Name, and Street - complete all these fields.

Total, Regular Mail no additional fee, and FedEx No PO Box  Add  in alaska death certificate request form

4. Now complete this fourth segment! In this case you'll have all of these Name on credit card, Billing address, Number, Credit Card Information When, Visa, MasterCard, Discover, Expiration date, Cardholder signature required, and Rev empty form fields to do.

alaska death certificate request form conclusion process described (portion 4)

Be extremely careful while filling in Billing address and Rev , because this is where many people make a few mistakes.

Step 3: Ensure your information is accurate and just click "Done" to progress further. Sign up with us right now and immediately access alaska death records, ready for downloading. All changes made by you are kept , which enables you to edit the document at a later stage anytime. FormsPal guarantees your data confidentiality with a protected method that in no way saves or shares any type of private data used in the file. Rest assured knowing your docs are kept protected when you work with our services!