Vital Statistics
Application for Birth and Death Certificates
Please note: If requesting a death certificate application, you must also supply one of the following documents for proof of relationship
Marriage license of spouse or legal partner
Decedent's Certificate of Death designating the name of the surviving spouse
Birth Certificate of the natural or adopted child listing the decedent as the parent
Most recent income tax return
Joint banking account documentation
A Will or legal document issued through a U.S. court of law that verifies ancestry
Medical or life insurance policy listing relationship to the decedent
Baptismal record listing lineal decedent
Notarized affidavit or relationship
Employee identification badge
A written request on agency letterhead signed by an official requesting the visibility of the social security number on the certified death certificate copy
Written authorization executed by the decedent that permits the representative to act on his/her behalf
Any legal document issued through a U.S. court of law authorizing any person to act on behalf of the decedent or the decedent's estate
Copies can be requested at the Conneaut City Health Department for a fee of $25 per copy.
Copies can be requested at the Conneaut City Health Department for a fee of $25 per copy.
Click here for the application.
Copies can also be obtained on the Ohio Department of Health's website.
Copies can also be obtained on the Ohio Department of Health's website.