Death Certificate Order

Certificate Type*

State Of Death*

Was the death in one of the following boroughs?*

The death did not take place in any of these boroughs*

County Of Death*

City Of Death*

Reason For Order*

Please read the statement below and accept before proceeding with your order

I acknowledge that I will be required to upload my valid identification and in some cases proof of relationship to have my order processed by the proper entity.

Shipping Information

Address Type:

Street*

Apartment #

State*

Country*

County*

City*

Enter only APO, DPO, or FPO

City*

Zip Code*

Number of Copies:*
WOULD YOU LIKE THIS ORDER EXPEDITED?*	YES NO
Shipping Method:*
Waive Signature for FedEx or UPS Delivery
Referral Code :
Cost for Certified Death Certificate:
	(state fee)
Additional Copies	(add’l fee)
GoCertificates Processing & Handling Fee (Non-Refundable)	(prc fee)
Shipping	(s&h fee)
Expedited Processing and/or Shipping	(exp’d fee)
State Additional Charges	0.00
*THIS ORDER WILL REQUIRE YOU TO UPLOAD AN ELECTRONIC COPY OF YOUR ID AND IN SOME INSTANCES, PROOF OF RELATIONSHIP IS REQUIRED.

Total Charges:
We accept Visa, MasterCard, Discover and American Express

To change your details click EDIT, once you have completed all edits please click CONTINUE

Info	Details	Edit
State Information		Edit
Applicant Information		Edit
Decedent Information		Edit
Mother Information		Edit
Father Information		Edit
Shipping Information		Edit

I have verified all the above information and I hereby certify it is true to the best of my knowledge. I also acknowledge that the above address will receive my order after processing *

Refund Policy- The costs for the actual certificates and shipping charges, as well as the processing/delivery times, are quoted by the State and/or County offices. GoCertificates.com, Inc. is not responsible for any delays or changes made by these offices. GoCertificates.com, Inc. will refund the fee if you do not receive your record and the fault is ours. If the reason you do not receive your record is because the State or County can not find a record for you, for any reason, only the unused shipping charges you paid, if any, will be refunded. No refund of GoCertificates.com's Fee will be issued to those who submit an application, yet fail to submit the proper identification verification requirement to complete the application or to those who submit an application and thereafter cancel their order. No refunds of any amounts will be issued by GoCertificates.com, Inc. if you do not receive your record because you have supplied incorrect or false information. The State or County Offices may have their own refund policies.