Death Certificate Request

WINDOW OVERVIEW:

The Death Certificate Request window is accessed under the New Request tab within Vital Records. You need to fill out the information on the window and click submit to request a death certificate. After the request is submitted, you can track the request within the Requests tab.

FIELD DESCRIPTIONS:

Request Type:Click on the appropriate radio button.

• NE Verification

• NE Certified

• Out of State

Deceased Box:

First Name:Enter the person's first name. This is a required field.

Middle Name:Enter the person's middle name if they have one.

Last Name:Enter the person's last name. This is a required field.

Ext:Enter the person's name extension
Jr. Sr. III. etc. if they have one.

Birth Date:Enter the person's date of birth (MM-DD-YYYY). This is a required field. The calendar icon may be used to find the date.  

Date of Death:Enter the person's death date. (MM-DD-YYYY). The calendar icon may be used to find the date.  

SSN:Enter the person's social security number.

City:Enter the name of the city where the person was born. This is a required field.

State If Out of State is selected enter the name of the state where the person was born. For Nebraska requests this field is completed.

County:Enter the county where the person was born.

Foreign Country:Enter the foreign country where the person was born if out of state and applicable.

ACTION BUTTONS:

	Select the Cancel button to cancel the certificate request.
	Select the Submit button to submit the certificate request.

(06-2026)