New Jersey Death Certificate Application (Form REG-27a) (REG-27a)
Official state formForm REG-27aFree downloadLast verified November 9, 2026
Form REG-27a is the combined application to order a certified copy of a New Jersey birth, marriage, civil union or death record. It is filed with the New Jersey Department of Health, Vital Statistics and Registry.
Who can use this form
- The person named on the record
- A parent, legal guardian or legal representative
- A spouse, civil union partner, domestic partner, child, grandchild or sibling, if of legal age
- A state or federal agency for official purposes
- Anyone with a court order
What to send with it
- The completed application
- Copies of your valid photo ID (not originals)
- Proof of your relationship to the person on the record
- The state fee by check or money order payable to Treasurer, State of NJ (no cash)
Where to send it
- Mail to
- New Jersey Department of Health Vital Statistics and Registry PO Box 370 Trenton, NJ 08625-0370
- State fee
- $25 for the first copy, $2 for each additional copy
- Typical processing
- Not provided
- Source
- Official government page