Navajo County Public Health Services District (NCPHSD), Office of Vital Records
offers certified copies of Arizona deaths that occurred from 2/1/08 to present.
For a certified copy of any other death that occurred in Arizona you must contact
the Arizona Department of Health Services,
Office of Vital Records. We accept completed applications
over the counter or by mail. We issue death certificates from our office located
at 117 E. Buffalo Street, Holbrook, AZ, 86025. Certified death certificates are
issued from an Arizona electronic database. We are only able to issue what is in
the data-base. Deaths that occurred within the last 30 – 90 days may not be completed
and entered into the data-base. We can not accept applications via fax or email.
Acceptable ID and the appropriate fee must be submitted along with a completed
application. Please see the fee schedule below. We do not provide refunds
for issued death certificates. For more information, please call the Vital Records
Office at (928) 524-4750.
-
Amendments and Corrections —
NCPHSD
can only correct or amend records for deaths occurring from February 1, 2008 to
the present. To correct or amend a death that occurred prior to February 1, 2008,
you must contact the Arizona Department of
Health Services, Office of Vital Records. See the Arizona Department of
Health Services, Office of Vital Records, Forms for an
Affidavit to Correct Death Record. This form must be completed for an amendment
or a correction. Most amendments and corrections require original documentation
in addition to the completed form. Please call our office to find out what documents
are required for the amendment or correction that needs to be made.
Arizona is a “closed record” state. That means that vital records are
not public record. Arizona law restricts the public’s access to vital records
as follows to protect the confidentiality rights of our citizens. Arizona Administrative
Code R9-19-405
specifies that only the following may receive a certified copy of a death certificate:
* Only persons 18 years of age or older may obtain a certified copy of a death certificate.
-
Spouse or Immediate Family Member — You must
provide proof of relationship:
Note: Listed as the informant on the death certificate is not sufficient
proof of relationship.
-
Attorney Representing Family Members — You must
provide:
-
A letter of request on your official letterhead stating your professional relationship
to the family member, signed by you, the attorney and containing your bar number.
-
Documentation, such as a signed retainer stating that you have been retained by
the family member.
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Documentation of the family member’s relationship to the deceased.
-
Attorney Representing the Estate — You must
provide:
- Attorney Representing Persons with a Legal Interest
— You must provide:
-
A letter of request on your official letterhead stating your professional relationship
to the person with legal interest, signed by you, the attorney and containing your
bar number.
-
Documentation, such as a signed retainer stating that you have been retained by
the person with legal interest.
-
Documentation of the person’s legal interest, such as:
-
Wills that link the deceased to the person with legal interest
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Insurance policy
-
Court order of guardianship
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Title to personal or real property listing the deceased and applicant as co-owners
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A document that establishes a legal interest in the record
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Non-Attorney Legal Interest — You must provide:
For fee information, refer to the fee schedule.
-
You must complete and sign an
Arizona Death Certificate application, available online or in the office.
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You must submit a valid government issued picture ID that includes a signature.
Please see below for acceptable forms of ID.
-
If you submit the application by mail, the form must be notarized. Notarized applications
will not be accepted for same day service. Notarized applications will be accepted
over the counter; however certificates will be mailed for these completed applications.
-
You must submit the appropriate fee.
- United States issued Drivers Licenses
- United States issued Identification Card
- United States Territories Drivers License or Identification Card
- Tribal Identification Cards that contains bearer’s signature
- U.S. Military Identification Cards that contains bearer’s signature (some
do not)
- Passports-United States or Foreign issued
- Visa –In a passport and the bearer’s signature is on the passport not the Visa
- Permanent Resident Card issued on or after May 11, 2010 which includes a signature
- Resident Alien Card (Form I-551)
- Employment Authorization Card (Form I-766)
- Employment Authorization Card (Form I-688A)
- Employment Authorization Card (Form I-688B)
- Temporary Resident Card (Form I-688)
Please note: Any other forms of ID are NOT acceptable.
Any form of ID that is expired, cracked, broken, taped, faded or excessively damaged
will not be accepted.
|
Service |
Fee |
|
Death Certificate |
$20 |
|
Amendments/Corrections 90 days after the date of death but less than 1 year |
$30 |
|
Fetal Death Certificate |
$20 |
Physical / Mailing Address:
117 E Buffalo Street
Holbrook, AZ 86025
Phone:
(928) 524-4750
Death Certificate Issuing Hours:
Monday - Thursday
8:00 - 12:00
1:00 - 5:00
Note: Since our office does birth certificate issuing on Monday
or Wednesdays we are usually unable to assist with death certificates on these days.
Please call for an appointment.
For more information on Arizona Vital Records visit the Arizona Department of Health
Services, Office of Vital Records Web site.
Or contact them by phone at (888) 816-5907 or (602) 364-1300. You can visit them
in person or reach them by mail at:
Arizona Department of Health Services
Office of Vital Records
1818 West Adams Street
Phoenix, AZ 85007
For your convenience, we have contact information for Vital Records Offices in other states.