INSTRUCTIONS FOR ORDERING A DEATH RECORD
1. Print, Fill out completely, and Sign application. (see below for who can order)
2. Provide proof of Identity (see acceptable methods below)
3. Enclose cashier’s check or money order (see Fees below)
4. Enclose a stamped self-addressed return envelope.
(enclose a pre-paid envelope from express mail/UPS/FEDEX etc. for expedited
service. We do not track mail once it leaves our office - keep all tracking info)
5. Mail application, I.D., payment, and return envelope to Cascade County Clerk
and Recorder, 121 4
th
St N, Suite 1B1 Great Falls, MT 59401
IDENTIFICATION IS REQUIRED
The person signing the request must provide an enlarged legible photocopy of both sides of their valid driver’s
license or other legal picture identification with a signature, or the requestor must have the application notarized.
If a picture ID with a signature is not available, two other forms of identification are required; one MUST have a
signature.
If you have no identification and an authorized family member cannot send an application for you, then you may
send a notarized Montana Office of Vital Statistics Statement to Identify form filled out by a witness who has
known you for more than 2 years who can attest to your identity. (see link on previous page to download this form
if needed)
SUGGESTED IDENTIFICATION
Picture ID
with
Signature
OR ANY TWO Forms of ID Listed Below (One MUST
have a signature)
OR
Photocopy of:
Driver’s License
State ID Card
Passport
Tribal ID Card
Military ID Card
(w/ signature)
OR Photocopies of 2 of the below- one with signature:
Social Security Card Fishing License
Pay Stub Insurance Record
US Military DD-214 Traffic/Pawn Ticket
Utility Bill with a current address Doctor/Medical Record
Court Record Library Card
Voter Registration Card Year Book
School ID Card Credit/Debit/ATM Card
Car Registration/Insurance Work ID Card
OR : Have the application Notarized
(original application only not faxed or
photocopied)
OR: Have someone who has known
you for more than 2 years fill out a
Notarized Montana Office of Vital
Statistics Statement to Identify
Certified Birth or Death Certificate
Applicant Form (original only, not a
photocopy or faxed copy) along with
the application filled out by you.
FEE:
(All fees must be U.S. funds)
Money Order or Cashier’s Check Only, NO personal checks or cash accepted. Make payable to Cascade County Clerk and
Recorder , and make sure you sign it. (If you come into our office in person, cash is acceptable.) Credit/debit cards not
accepted.
Certified copies of a Death Certificate:
Cost is $5.00 for each copy. (non-refundable) You do not need to send separate money orders for multiple requests in one
envelope.
Informational copies of a Death Certificate:
Cost is $2.00 each Not certified (for informational /genealogy purposes only and cannot be used for any legal purpose) may be
issued to anyone, as long as the birth occurred at least 30 years prior to the date of application.
MAIL : Most requests are processed within 2 working days of receipt. You may wish to send your request by an express mail
(eg. UPS, FEDEX, USPS EXPRESS), along with a pre-paid self addressed return express mail envelope to speed up the
mailing process. You are responsible for tracking your mail before we receive it and after it leaves our office. Certificates can
only be mailed to the authorized applicant. We do not guarantee any return times.
IMPORTANT: If the identification requirement is not met or if the application is incomplete, your request will be returned and
significant delays in processing your order will occur.
PLEASE READ THESE INSTRUCTIONS CAREFULLY
WHO CAN ORDER A DEATH CERTIFICATE
Complete copies of a certified death certificate will be issued to an
yone who submits a completed application, establishes
their identity, and lists the reason for needing the copy. If a death certificate lists the cause of death as "pending autopsy" or
"pending investigation", a certified copy which has the cause of death information removed will be issued
Cascade County Clerk & Recorder
121 4th St N STE 1b1
Great Falls, Montana 59401
Phone: (406) 454-6718
PLEASE READ THESE INSTRUCTIONS CAREFULLY
WHO CAN ORDER A DEATH CERTIFICATE?
Complete copies of a certified death certificate will be issued to anyone who submits a completed application, establishes their identity, and lists the reason for needing
the copy. If a death certificate lists the cause of death as "pending autopsy" or "pending investigation", a certified copy which has the cause of death information
removed will be issued.
IDENTIFICATION IS REQUIRED
The person signing the request must provide an enlarged legible photocopy of both sides of their valid driver’s license or other legal picture identification with a
signature or the requestor must have this application notarized.
Suggested Identification
Picture ID with a Signature
OR Two Forms of ID One MUST have a Signature
OR
Driver’s License
State ID Card
Passport
Military ID Card
Tribal
Social Security Card
Work ID Card
Car registration/Insurance
Doctor/Medical record
Fishing License
US Military DD 214
Utility Bill with a current address
Voter Registration Card
Credit/Debit/ATM Card
School ID Card
Library Card
Insurance Record
Pay Stub
Traffic/ Pawn ticket
Court record
Year Book
Notarized Montana Office of Vital Statistics
Statement to Identify certified Birth or Death
Certificate Applicant form (you must
provide the original letter, not a photocopy
or faxed copy)
Have an authorized family member that has
an ID order the certificate
If a picture ID with a signature is not available, two other forms of identification are required; one MUST have a signature. Please include photocopies of both sides of
the ID when mailing your request
IMPORTANT: If the identification requirement is NOT met or if the application is incomplete, your request will be returned and significant delays in
processing your order may occur.
FEE (All fees must be U.S. funds)
CERTIFIED COPIES OF A DEATH CERTIFICATE cost $5.00 for each copy (Money Order or Cashiers Check only)
INFORMATIONAL COPIES OF A DEATH CERTIFICATE cost is $2.00 for each copy (Money Order or Cashiers Check only)
Name:
Address: ___________________________________________ City, State, Zip:_________________________________________
Daytime Telephone Number: ______________________________Signature of Applicant: ________________________________
Email Address:______________________________________________________
____________________________________________________________________________________________________________
Notary (For use if needed) Verification of Signer’s ID Is Mandatory
State of ________________________
County of ______________________
This record was signed and sworn to (or affirmed) before me on ___________________ by
(Date)
______________________________
(Name of Signer)
______________________________
(Notary’s Signature) [Official Stamp]
NOTICE: STATE LAW PROVIDES PENALTIES FOR PERSONS WHO WILLFULLY AND KNOWINGLY USE OR ATTEMPT TO USE THIS
CERTIFICATE FOR ANY PURPOSE OF DECEPTION. (50-15-114, MCA)
Official Use Only
Date
Rec#
Amount
Cert #
Ser #
Comment
Please complete the following information.
Decedent’s Name:
Date of Death (We need a date to begin searching if date is unknown): Date of Birth:
Place of Death: ________________________________Place of Birth:_____________________________________________
Spouse’s Name:
Reason record is needed
Number of Copies ___________Type of record needed? Certified Not
Relationship:___________________________________
____________________________________________________________________________________________________________
Please make money orders or cashiers checks payable to: Cascade County Clerk & Recorder