Death Certificate at Form 2003-2023

Death Certificate at Form: What You Should Know

Applicants for Minnesota death certificates from 2011. A: Do you recognize the following person, place, event or thing on your Death Certificate? Yes No B: Do you recognize the following person, place, event or thing on your Death Certificate? Yes No C: Do you recognize the following person, place, event or thing on your Death Certificate? Yes No D: This person died from any of the following; cancer (except for thyroid cancer) or cancer. Other diseases including AIDS or Bioterrorism. Death from any disease or any other cause. A: If yes, please make your check payable to Payment Instructions (Payable to Death Certification Order Form Payment must be made by check or money order only. If you are not a resident of Minnesota and not on the list, see items 16 and 17 Payment Instructions The application fee must be submitted prior to the issuance of the death certificate. You are not charged a fee if you are a resident of MN, and the state has a Death Certificate Application. Payment is due by the last day of October,  (Items 17 and 18 are only required if you do not meet the first 4 criteria) Death Certificate and Payment Instructions Dismissal of Death Certificate — NYC.gov Payment Instructions The death certificate is issued to the person who paid the fees and provided acceptable information on the application (the applicant). Therefore, the death certificate can be canceled only by the executor of your estate or the person who paid the fees. Please call the Minnesota Department of Health at for more information on how to cancel a death certificate. I have to get all of these forms in one place. When are the death certificates available? Death certificate fees will be collected by the Minnesota Department of Health during the months of September through December and January through April of each year. We will do everything possible to have the documents available to the public in the early summer of every year. However, the date of issuance will vary and is based on the date the form was submitted to the Minnesota Department of Health to be processed.

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