Funeral Director's Application for Death Certificate
This file provides the application form for a certified copy of a death certificate. It is designed for funeral directors needing to obtain vital records efficiently. Completing this application ensures the necessary information is submitted for record processing.
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How do I fill this out?
To fill out this application, begin by providing the details of the deceased. Next, fill in the funeral director's information along with the required payment. Finally, double-check the form for accuracy before submitting.

How to fill out the Funeral Director's Application for Death Certificate?
1
Gather the necessary information about the deceased.
2
Fill out the funeral director's details.
3
Indicate the number of certified copies requested.
4
Calculate the total fees and include payment.
5
Submit the completed application to the provided address.
Who needs the Funeral Director's Application for Death Certificate?
1
Funeral directors need this form to obtain death certificates for filing necessary legal documents.
2
Families may require certified copies for estate settlements.
3
Legal representatives might need the documents for probate proceedings.
4
Social services may use it for benefits eligibility.
5
Genealogy researchers can request copies for family history purposes.
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What are the instructions for submitting this form?
To submit the completed form, send the application along with payment to the Louisiana Vital Records Registry at P.O. Box 60630, New Orleans, Louisiana 70160. Ensure all information is accurate and complete before mailing. You may also contact the registry for any inquiries regarding your submission.
What are the important dates for this form in 2024 and 2025?
There are no specific important dates for this form in 2024 and 2025 as it can be submitted year-round based on individual needs.

What is the purpose of this form?
The purpose of this form is to enable funeral directors to obtain certified copies of death certificates. This documentation is crucial for legal and administrative processes following a death. Effective use of this form ensures that families can access vital records promptly.

Tell me about this form and its components and fields line-by-line.

- 1. Name at Death: This field requires the full name of the deceased.
- 2. Date of Death: Enter the date on which the person passed away.
- 3. City or Parish: Specify the city or parish where the death occurred.
- 4. Funeral Home: Provide the name of the funeral home handling the arrangements.
- 5. Funeral Director's Signature: The signature of the funeral director is required here.
- 6. Number of Certified Copies Requested: Indicate how many copies are being requested.
- 7. Total Fee: Calculate and write the total fee for the requested copies.
What happens if I fail to submit this form?
If you fail to submit this form correctly, your request for a death certificate may be delayed or denied. It is essential to ensure all required fields are filled out accurately. Incomplete submissions could result in extra fees or loss of funds.
- Delayed Processing: Incorrect or incomplete forms can lead to longer wait times for obtaining records.
- Loss of Fees: If no record is found, submitted fees will not be refunded.
- Legal Issues: Missing documentation may impact legal processes related to estate management.
How do I know when to use this form?

- 1. Funeral Arrangements: To obtain necessary death certificates for funeral services.
- 2. Estate Settlement: Required for settling the deceased's estate.
- 3. Legal Documentation: To provide proof of death in court cases or legal matters.
Frequently Asked Questions
How do I submit the application?
You can submit the application by mailing it to the Louisiana Vital Records Registry.
What payment methods are accepted?
You can pay via check, money order, or cash at your own risk.
Is there a fee for the certified copies?
Yes, the initial copy costs $9, and subsequent copies are $7.
What if I can't find a record?
If no record is found, the fees are retained to defray the cost of processing.
Can I request multiple copies?
Yes, you can specify the number of certified copies you need.
Is there a state charge for mailing?
Yes, there is a $0.50 state charge for mail orders.
What information do I need to fill out?
You will need the name of the deceased, date of death, and city or parish.
How long does the process take?
Processing times may vary; it's best to submit your request as early as possible.
Can I submit this form online?
Currently, the form must be submitted by mail.
What if I made a mistake on the form?
You can print a new copy from PrintFriendly and fill it out again.