Section 1 of 1 in this document

Request For Certified Death Record

City of Royal Oak

$15.00 for 1st copy - $5.00 for each additional copy of the same record

Death records are mailed standard USPS.

Death records purchased online may be paid with Visa, MasterCard or Discover Card.

Information as it appears on Death Record

Full Name on Death Record

Date of Death

Number of Copies

Requested by

Requestors Telephone number

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First Name

Last Name

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PENALTIES: Anyone who obtains or attempts to obtain a vital record of another person with the intent to commit identity theft or commit another crime is guilty of a felony punishable by imprisonment for up to five years and/or a fine of up to $25,000. MCL 445.69

Request For Certified Death Record

City of Royal Oak

Information as it appears on Death Record

Date of Death

Full Address

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