REQUEST FOR SEARCH OF DEATH FORM 3912 (REVISED 09/2017)
PLEASE ADDRESS ALL CORRESPONDENCE TO THE ADDRESS BELOW.
STATE OFFICE OF VITAL RECORDS1680 PHOENIX BLVD. SUITE 100, ATLANTA, GA 30349 PHONE 404.679.4702
Georgia law and the Department of Public Health regulations require that all requests for vital records include
the signature and picture ID of the requestor and the proper fee.
Typically, the person requesting a certified copy of a death record needs only to provide:
1. A completed and signed request form.
2. Provide the applicable fee(s) noted below
3. A photocopy of your valid photo ID such as one of the following:
• Georgia Driver’s license unexpired or expired for not more than one year
• State of Georgia Identification Card unexpired or expired for not more than one year
• State of Georgia Weapons Carry License - New
• Unexpired driver’s license issued by another U.S. State, jurisdiction or territory
• Unexpired official Identification Card issued by another U.S. State, jurisdiction or territory
• Unexpired U.S. Passport
• Unexpired Foreign Passport
• U.S. Military Identification, Military Dependent Identification, Veteran’s Identification
• Unexpired Consulate Card
• Transportation ID
• Debit Card with Picture
• Employer ID Card
• School, University, or College Identification Card
• DMV ID Card
• Department of Corrections Identification Card
However, as explained below, there are instances in which specific documentation is required based on who is
requesting the record.
• The person named on the certificate- If the person named on the certificate (i.e. the registrant) is the
requestor, that person must provide valid photo identification at the time of the request.
• The parent(s) named on the birth record- Must provide valid picture identification.
• An authorized legal guardian or agent- Any person who has legal custody or control of a minor child must
provide a certified copy of the court order establishing guardianship and legal custody.
• Grandparents of the person named on the certificate- Must provide proof of relationship such as the birth
certificate of the registrant’s parent.
• An adult child or adult sibling of the person named on the certificate- Must provide proof of relationship
by providing a copy of his or her birth certificate listing one of the same parents, along with his or her
valid government issued picture identification which includes signature.
• The spouse of the person named on the certificate- Must provide a copy of the marriage certificate, a
photo copy of the spouse’s picture identification, which includes the spouse’s signature, with a notarized
letter from the spouse giving permission.
• Attorney-Must represent an immediate family member and provide a notarized letter on letterhead
signed by the attorney; provide bar number indicating reason for the request and whom they represent;
provide supporting documentation with the fee; provide a notarized release from the biological mother,
in the event of an adoption.
• State or Federal Government Officials-The State Registrar or the local custodian may disclose data from
Vital Records to authorized representatives of Federal, State, or County agencies of government which
request such data in the conduct of their official duties.
