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Death Certificate Online Payment Form

  1. SJCHD logoCMYK
  2. Death Certificate Payment Form
  3. Approximate if unknown

  4. County, City, and State are required

  5. Upload a picture of your valid government issued photo ID.

  6. Or evidence of Direct Interest (Required for Certified Copies)

  7. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  8. Death Certificate
    Certified Copy
  9. Price
  10. Death Certificate
    Uncertified Copy
  11. Price
  12. Online Payment Fees:
    Online payments are processed by Forte. A fee of 2.5% or $1.50 (whichever is greater) will be assessed for all credit card payments. Electronic Checks are also accepted, and will be assessed a flat $1.25 for any payment under $50,000. The appropriate fee will be added to the total cost of your payment.
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