Order Death Certificates | USVitalRecords.org

Kentucky Death Certificate Order Form

Death certificates can be ordered from this website if the death occurred within the State of Kentucky from 1911 to present.

ID Requirements must be met before certificate is issued. You will receive an email with instructions on how to send your ID within one week of submitting this application.

Information About The Certificate

City / County of Death: Please select the city and county of death for the subject of the certificate.

City of Death *

Other (City Not Listed)

County of Death for the Deceased *

Other (County Not Listed)

Information About The Requestor

IMPORTANT!: The requestor is the person ordering the certificate, not the person named on the certificate.

First Name *

Middle Name

Current Last Name *

Suffix

Date of Birth & Social Security Number of the Requestor: This is an additional safeguard to protect your identity and the security of the requested certificate.

Month of Birth *

Day of Birth *

Year of Birth *

Imporatant: Valid SSN only, No ITINs permitted. Match the format from "Date of birth & Social security number".

Social Security Number *

Reason for Request *

Relationship To Deceased *

Driver License Number *

State that issued Driver License *

Texas DL/ID Card Audit Number *

DL Expiry Date *

Information About The Subject Of The Certificate

Name of Deceased: The person named on the certificate.

First Name *

Middle Name

Current Last Name *

Maiden Last Name (Subject)

Suffix

Gender *

Race *

Date of Death: Death certificates can be ordered through this website if the death occurred within the State of Kentucky between 1911 and the present.

Month of Death *

Day of Death *

Year of Death *

Funeral Home *

Deceased Month of Birth *

Deceased Day of Birth *

Deceased Year of Birth *

Age at Time of Death

Last Known Alive Date

Social Security Number (SSN) of Deceased: Please enter the Social Security Number of the deceased.

SSN of Deceased *

Valid SSN only, No ITINs permitted.

Occupation of Deceased

City of Birth

County of Birth

State of Birth *

Country of Birth *

Last Known Address

Last Known Address cont.

Name of Mother: Enter the maiden last name of the mother, not her married name. If she had a legal name change, use the current legal name. Please note that assuming the spouse's last name is not a legal name change.

Full Name of Mother

Full Maiden Name of Mother

First Name of Mother

Middle Name of Mother

Current Last Name of Mother

Maiden Last Name of Mother

Full Name of Father

First Name of Father

Middle Name of Father

Last Name of Father

Suffix

Full Name of Spouse

First Name of Spouse

Middle Name of Spouse

Last Name of Spouse

Spouse's Mother's Name

Spouse's Father's Name

Order Information

Delivery Address: If certificate is delivered by UPS, it must be signed for at this address. Certificates delivered by UPS cannot be sent to a P.O. Box.

Country *

Delivery Address *

Delivery Address Continued

Town/City *

State/Province *

ZIP/Postal Code *

Telephone & Email Address of the Requestor: ID requirements and other important information will be emailed to you. An incorrect email address will result in delays.

Daytime Telephone Number *

Alternate Telephone Number

Email Address *

Confirm Email Address *

Certified Copy of Kentucky Death Certificate

Select Number of Copies *

Select Processing Service *

Important: 24 hour (M-F) Rush Processing. Does not include ID verification and delivery times. Regular Processing is up to 5 business days.

Select Delivery Method *

Important: *UPS to Alaska, Hawaii or Puerto Rico is $27.00. UPS Canada/Mexico is $28.00. UPS to all international locations is $38.50.
Delivery method and price are subject to change based on delivery location.

Order Summary

Kentucky Death Certificate

Qty: Not specified

Online Processing Fee:

Not specified

Qualifying Review:

Not specified

Shipping Fee:

Not specified

Total:

Not specified

Important: You will be charged $(not specified) when you submit your order. The shipping fee and any State & Agency fees will be charged when the order is processed by the state issuing agency.

Important: The total price will be calculated and shown once all required fields on this order form have been completed.

Credit Card Information

Confirm that your name appears on the credit card that you will use for this order

Credit Card Type *

Credit Card Number *

Credit Card Expiry Date *

Credit Card Security Code *

First Name On Credit Card *

Last Name On Credit Card *

Cardholder Email Address *

Verify Request

1. I understand US Vital Records (USVR) offers professional advice and provides support to help eliminate errors when applying for vital certificates. USVR assists in verifying that applications are accurate to avoid delays in processing. USVR is not operated, licensed, or affiliated with any government agency.

2. I understand ID verification must be met before I receive any vital certificate ordered. I understand I will receive an email with instructions on how to send a copy of my government issued picture ID for verification.

3. I accept the Terms of Service, including the refund and cancellation policies.

Type your full name in the field below. Typing your full name constitutes a signature and an agreement that you have read and agreed to all the provisions above. It additionally affirms that all information provided on this order form is complete and accurate and that you are an authorized individual to obtain the requested vital certificate.

Type your full name in the field below to submit your order. *

Kentucky Death Certificate Order Form

ONLINE SERVICE INFORMATION

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$59.87 Online Processing Fee (Initial charge appears on your statement as 'US Vital Records')
$15.50 $6.00 Merchant & State Fee (Secondary charge appears on your statement during processing as VCN Kentucky)
$75.37 Total Fee (Additional Copies: $59.87 each)