For certified copies of death records for all who died within Seattle’s city limits, for
those who died in greater King County since 1944, and for all Washington State deaths
that have been filed electronically (starting in 2005).
Pursuant to the Revised Code of Washington 70.58.107, if we cannot fill your order because there is no matching record or because you cannot provide the
required information, we are required to charge you an $8 search fee instead of the $20 per certificate fee. In that case, we will provide a partial refund to you.
However, if your order is for a recent death, we will hold it until the funeral home has filed the certificate and fill your order at that time.
CITY STATE ZIP CODE COUNTRY (if not USA)
YOUR RELATIONSHIP TO THE PERSON ON THE CERTIFICATE
FOR CLAIMS PENDING BEFORE THE VETERANS ADMINISTRATION, CHECK BOX TO REQUEST A VA COPY
Include a copy of the decedent’s DD-214 or other separation document with your order. The $4.00 handling fee applies even if no certified copies are ordered.
Washington State Death Certificate Order
DATE OF DEATH (or up to a 10-year range)
PLACE OF DEATH (city or county)
FUNERAL HOME NAME (if application is from a funeral facility)
FUNERAL HOME ACCOUNT NUMBER (Funeral Home Use Only)
ORDER BY MAIL ( WITH CHECK OR MONEY ORDER)
MAIL FORM WITH PAYMENT TO: Vital Statistics
Mailbox 359784
325 Ninth Ave
(Payable to Vital Statistics) Seattle, WA 98104-2499
BRING THIS FORM TO: King County Vital Statistics
Harborview Medical Center
Ninth & Jefferson Building
908 Jefferson Street, 2
nd
Floor
Seattle, WA 98104
Number of certificate copies:
Number of certified copies:
NO OTHER FEES WHEN ORDERING IN PERSON
Please note: Refunds not issued for less than $5.00
ORDER BY MAIL (WITH DEBIT OR CREDIT CARD)
(or order online at www.kingcounty.gov/vitalstats)
Number of certificate
copies:
Name on card and billing address is:
same as applicant same as shipping or as below
Name on Card Billing Address
King County Vital Statistics
www.kingcounty.gov/vitalstats
206-897-5100
