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Pennsylvania Death Certificate Application (Form HD02080F) (HD02080F)

Official state formForm HD02080FFree downloadLast verified November 9, 2026

Form HD02080F is used to request a certified copy of a Pennsylvania death certificate. It is mailed to the Pennsylvania Department of Health, Division of Vital Records.

Who can use this form

  • Applicants must be 18 or older, or an emancipated minor
  • Immediate family members of the person named on the record
  • A legal representative
  • A person or agency with a direct or tangible interest, such as in the estate

What to send with it

  • The completed and signed application
  • A legible photocopy of a valid government-issued photo ID that shows your mailing address (or two current documents showing your name and address)
  • The state fee by check or money order payable to VITAL RECORDS

Where to send it

Mail to
Division of Vital Records PO Box 1528 New Castle, PA 16103
State fee
$20 per certified copy
Typical processing
About 3 to 4 weeks, depending on the request method
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Pennsylvania Death Certificate Application (Form HD02080F) (HD02080F) | Pennsylvania Form