See the PA Department of Health website: http://www.portal.state.pa.us/portal/server.pt/community/death_certificates/
You will find instructions and a form.
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Law Offices of Marshall D. Chriswell
714 Philadelphia St., Suite 200
Indiana, PA 15701
Marshall D. Chriswell is a civil practitioner with offices in Indiana and Clearfield Counties. Mr. Chriswell's practice emphasizes Wills & Estate Planning, Probate, Real Estate, Family Law, and general civil disputes.
Mr. Chriswell provides free initial consultations, and will gladly meet clients in their homes upon request, including on the evenings or weekends.
This communication does not constitute legal advice and does not establish an attorney/client relationship. If you are seeking legal advice, feel free to contact our offices.
Attorney Chriswell is correct. Thankfully, much of this information can now be secured through an application via the internet. Good luck to you.
This information is presented as a public service. It should not be construed to be formal legal advice nor considered to be the formation of a lawyer/client relationship. I am licensed in Connecticut and New York and my answers are based upon the law in those jurisdictions. My answer to any specific question would likely be different if I were to review a client's file and have the opportunity to interview the client. Accordingly, I strongly urge you to retain an attorney in your jurisdiction with respect to any legal matter.
As Mr. Chriswell has pointed out, the Pennsylvania Department of Health website contains all the background information you seek.
In addition to the website which he suggested, my own web search has disclosed the form. Here it is:
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The more information you have the better, but all of it is not needed to get the death certificate. However, one piece of advice I would give you is to send it some kind of overnight or priority type of mail. It it is sent regular mail it is not given the same attention and can take six times as long to get back.