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Illinois Death Certificate Application

Official state formFree downloadLast verified November 9, 2026

The Application for Illinois Death Record is used to request a certified copy of an Illinois death certificate from the Illinois Department of Public Health, Division of Vital Records.

Who can use this form

  • Immediate family members, such as a spouse, parent, adult child or sibling
  • The executor of the estate or a legal representative
  • Anyone with a personal or property right interest in the record
  • Non-relatives with a letter from the agency that requires the certificate

What to send with it

  • The completed application
  • A copy of a valid photo ID, or supporting proof of your name and address
  • A check or money order payable to the Illinois Department of Public Health

Where to send it

Mail to
Illinois Department of Public Health Division of Vital Records 110 W. Lawrence Avenue Springfield, Illinois 62704-2610
State fee
Not provided
Typical processing
About 12 weeks by mail
Back to Illinois forms
Illinois Death Certificate Application | Illinois Form