Washington State Death Certificates 1907-1960
 
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Certificate Form

Instructions: Fill-in this form as completely as possbile. The more information you provide, the greater the odds of distinguishing someone from others with the same name. if the exact date of birth or death is unknown, enter an approximate date.

All fields are mandatory

Washington State Death Certificates 1907-1960
Name of Person :
Last Name :
If female, enter last name at birth
Date of Birth :
Place of Birth :
Date of Death :
Place of Death :
Name of Spouse :
Name of Father :
Name of Mother :
Additional Information :