Request For Death Certificate

{Your Name}
{Your Address}
{Your Phone Number}

{Name}
{Company}
{Address}

{Date}

Dear {Name},

This letter is intended as a formal request to receive a copy of the death certificate of {Name}.

{Name}'s full name was {Full Name}. {He/she} was a {man/woman} who was born on {date} and died on {date}. At the time of death, {he/she} was living at {Address} in {City}, {County}, {State}. {His/her} parents were named {Name} and {Name}, and {his/her} spouse {was/is} named {Name}.

My name is {Full Name} and I am {Decedent}'s {relationship}. I have enclosed a copy of my photo ID and {notarized documents where required} to prove my legal right to the death certificate.

I have enclosed a check to cover the service fees for this transaction, as well as a self-addressed envelope with the postage paid.

Thank you for your assistance. Please contact me at {phone number} or {email address} if you require any other information, or if you have any questions.

Sincerely,

{Sender Name}