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Vermont · Death

Vermont Death Certificate Application

Official state formFree downloadLast verified November 9, 2026

The Application for Certified Copy of Vermont Birth or Death Certificate is used to order a certified copy of a Vermont death certificate. It is filed with the Vermont Department of Health, Vital Records.

Who can use this form

  • A spouse, child, parent, sibling, grandchild or grandparent of the person who died
  • A legal guardian, court-appointed executor or administrator, or legal representative
  • A petitioner for the estate, or the person with authority for final disposition
  • The Social Security Administration, U.S. Department of Veterans Affairs or the deceased's insurance carrier
  • Anyone authorized by a certified court order

What to send with it

  • The completed and signed application
  • A copy of your valid ID, or copies of two alternative documents
  • The state fee by check or money order payable to the Vermont Department of Health
  • A self-addressed envelope

Where to send it

Mail to
Vermont Department of Health Vital Records 280 State Drive Waterbury, VT 05671-8370
State fee
$10 per certified copy
Typical processing
About 10 to 20 days
Back to Vermont forms
Vermont Death Certificate Application | Vermont Form