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Death Certificate Information Form

Death Certificate Information

Military Record

Only if married, or married but separated


Retired is NOT Accepted

*Please review all information above needed in order for death certificate to be completed. The death certificate will take up to 30 business days to be certified. The death certificate will be completed exactly as the information given in the form above by the next-of-kin. If any of the information above is incomplete, it will delay the process of completion. If all the information is correct, I hereby state that all information above is correct to the best of my knowledge, I understand that if there are any mistakes on the official certified death certificate because of wrong information provided by the informant, the informant will be responsible for the fee required by the State of Oklahoma to amend the certificate and the additional fee for any additional corrected death certificates needed. By typing your full name into the box below, this serves as a signature and implies that you agree with all the mentioned terms.*

Please Type Your Full Name
Date of Signature
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