Fill Out Your Alaska Death Certificate Form Customize Alaska Death Certificate

Fill Out Your Alaska Death Certificate Form

The Alaska Death Certificate Request Form is an official document used to request a certified copy of a death certificate for individuals who have passed away in Alaska. This form is essential for family members or legal representatives who need to obtain vital records for various purposes, including legal matters and personal records. To begin the process of obtaining a death certificate, please fill out the form by clicking the button below.

Alaska Death Certificate Sample

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)

Common mistakes

When filling out the Alaska Death Certificate form, individuals may encounter several common mistakes that can lead to delays or unprocessed requests. Below is a detailed list of these potential errors:

  1. Incomplete Application: Failing to complete all required sections of the form can result in rejection. Ensure that every field is filled out accurately.
  2. Missing Identification: Not including a copy of a government-issued photo ID is a frequent oversight. This ID must be clear and legible, especially if faxed.
  3. Incorrect Names: Using nicknames or abbreviations instead of the full first, middle, and last names as they appear on the death certificate can cause confusion.
  4. Relationship Proof: Not providing necessary documentation to prove the relationship to the deceased can lead to denial of the request. This is crucial for siblings and children.
  5. Submitting to the Wrong Bureau: Requests for deaths that occurred outside of Alaska must be sent to the appropriate state. Ensure the death occurred in Alaska before submitting.
  6. Signature Issues: Forgetting to sign the application or the ID copy can result in the request being returned unprocessed.
  7. Payment Errors: Not including the correct fees or submitting a check without preprinted name and address can lead to complications. Be mindful of the fees for copies and expedited requests.
  8. Improper Submission Method: Sending expedited requests by mail instead of fax can lead to delays. Follow the specified submission guidelines closely.
  9. Failure to Confirm Receipt: Not calling the Bureau to confirm receipt of a faxed request can result in uncertainty about whether the request was received.

By being aware of these common mistakes, individuals can ensure a smoother process when requesting a death certificate in Alaska. Taking the time to review the application and instructions carefully can save significant time and effort.

Detailed Steps for Filling Out Alaska Death Certificate

Once you have gathered the necessary information and documents, you can begin filling out the Alaska Death Certificate form. Make sure to follow the steps carefully to ensure your request is processed smoothly.

  1. Obtain the Alaska Death Certificate Request Form. You can either print it or type directly onto it.
  2. Fill in the full name of the deceased as it appears on the certificate.
  3. Provide the city or village where the death occurred.
  4. Enter the date of death.
  5. Indicate the purpose of your request (e.g., personal records, legal purposes, etc.).
  6. State your relationship to the deceased (e.g., spouse, parent, child, sibling, legal representative).
  7. Sign the form where indicated.
  8. Include your contact phone number.
  9. If possible, provide additional search criteria, such as the full names of the deceased's parents or their date of birth.
  10. Specify the number of copies you are requesting.
  11. Calculate the total fees based on the number of copies and any additional services, like expedited processing.
  12. Prepare a payment method: check, money order, or credit card information. Ensure checks are preprinted with your name and address.
  13. Include a clear copy of your government-issued photo ID, with your signature below the ID.
  14. Mail or fax the completed form to the Bureau of Vital Statistics. If faxing, confirm receipt by calling the provided number.

After submitting your request, allow for processing time. Regular requests typically take 2-3 weeks, while expedited requests may be processed within 3 working days. Keep an eye on your mailbox or check your fax confirmation to ensure everything is in order.

Dos and Don'ts

When filling out the Alaska Death Certificate form, it is essential to follow certain guidelines to ensure your application is processed smoothly. Here are five important do's and don'ts to consider:

  • Do provide a clear and legible copy of your government-issued photo ID. Ensure it is enlarged and lightened if necessary, especially if faxing.
  • Do include proof of your relationship to the deceased, such as a birth certificate for siblings or children.
  • Do fill out the form completely, using the full names of the deceased as they appear on the certificate.
  • Don't submit your request without signing it. Your signature is required under the ID copy.
  • Don't forget to check that your request includes the correct fees, as incomplete applications will be returned unprocessed.

By adhering to these guidelines, you can help ensure that your request for a death certificate is handled efficiently and without unnecessary delays.

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