Request for Certified Copy of Death Record (OHSM 136)

Who can use this form

• Only people with a direct and tangible interest in the record
• The person named, their spouse, parents, descendants (such as a child or grandchild), or relatives with a common ancestor (such as a sibling, grandparent, aunt, uncle or cousin)
• A legal guardian, a person or agency acting for the person named, a personal representative of their estate, or anyone with a court order

What to send with it

• This request form, signed; only one name per form
• A photocopy of your government-issued photo ID
• Documents showing you are entitled to the record, if you are not the person named
• A money order or cashier's check payable to Hawaii State Department of Health (no cash or personal checks)

Where to send it

Mail to

State Department of Health Office of Health Status Monitoring Vital Records Issuance Section P.O. Box 3378 Honolulu, HI 96801

State fee

$10 for the first certified copy, $4 for each extra copy of the same record ordered at the same time, plus a $2.50 administrative fee for each group of up to 5 copies. Fees are kept if no record is found.

Typical processing

Not provided

Source

Official government page