Pennsylvania Application for a Multi-Year Search of a Death Record
Official state formOther copy requestsFree downloadLast verified November 10, 2026
Asks the Pennsylvania Division of Vital Records to search two to ten death years when the exact date of death is not known. The fee includes one certification. Mail it to the Division of Vital Records in New Castle.
Who can use this form
- A person eligible to apply for the death certificate, age 18 or older
- You must know the first and last name and, if possible, the county of death
- A separate application is needed for each version of the name
What to send with it
- Completed and signed application
- Legible copy of your valid government-issued photo ID
- Self-addressed stamped envelope
- Check or money order payable to VITAL RECORDS
Where to send it
- Mail to
- Division of Vital Records 101 South Mercer St. PO Box 1528 New Castle, PA 16103
- State fee
- $45.00 for a search of two to ten years, which includes one certification. $25.00 for each additional span of two to ten years.
- Typical processing
- The posted death certificate processing time (approximately 3 weeks) plus generally 2 to 4 weeks
- Form revision
- Rev. 11/17
- Source
- Official government page