DECEDENT'S LEGAL NAME (First, Middle, Last). 1a. IF FEMALE, ENTER LAST. NAME AT BIRTH. 2. SEX. 2a. DATE OF DEATH (Mo., Day, Year). |
Georgia Department of Community Health. REQUEST FOR SEARCH OF DEATH RECORDS. The fee for searches of vital records has been established by the State Board of ... |
5 дек. 2022 г. · To request a copy of a death certificate, you will need to complete and mail Form 3912. You may also place an order online. Download this pdf ... |
GEORGIA DEATH CERTIFICATE. B. STATE FILE NUMBER. 1a. LAST NAME AT BIRTH (IF FEMALE). 2. SEX. 2a. DATE OF DEATH (MO/DAY/YR). 3. SOCIAL SECURITY NUMBER. 4a. AGE ... |
Printed Name of Person Requesting Certificate- If born outside Georgia, certified birth certificate must be presented to verify relationship. Mailing. Address: ... |
The $25.00 fee includes a certified copy if the record is found on file. Each additional copy paid for at the same time is $5.00. The search fee is non-. |
Georgia Death Certificates from 1919 through 1927. The collection also includes a number of certificates from 1914-1918, with the bulk dating from 1917 and ... |
Part I. Enter the chain of events-diseases, injuries, or complications that directly caused the death. DO NOT enter terminal events such as cardiac arrest,. |
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