Online Vital Records Request

Death Certificates

Please call the Kittitas County Public Health Department (KCPHD) to order certified death certificates at 509-962-7515 or you may request death certificates by filling out and submitting the form below. KCPHD issues certificates for deaths that occurred in Washington State only.

Fees for death certificate

$20.00 for each certified copy.
Cash, money orders, or cashier's check are accepted. Make money orders payable to Kittitas County Public Health.
Currently we are able to accept credit cards or debit cards in person (please note a 3% fee will be added to all credit/debit card purchases).
No personal checks accepted.
For deaths that occurred before 2013, contact the Center for Health Statistics.

Application for Certified Copy of Death Certificate

Request death certificate for

Last Name:

First Name:

Middle Initial:

Date of death:

Date of birth:

County of death:

Requested by

First Name:

Last Name:

Address:

City:

State

Zip:

Phone:

ext.

# of Copies Requested:

x $20.00

Copy to the VA? YesNo Relationship to the
deceased:

Method of Delivery:

MailPick up in-person ****Note: To receive by mail: Print order form (this is available after you submit the form) and send with money order to Kittitas County Public Health Department

Fields in red are required.

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Death Certificates

Application for Certified Copy of Death Certificate

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