Nebraska Death Certificate Application (Form HHS-92) (HHS-92)
Official state formForm HHS-92Free downloadLast verified November 9, 2026
Form HHS-92 is the application to order a certified copy of a Nebraska death certificate. It is filed with the Nebraska Department of Health and Human Services, Office of Vital Records.
Who can use this form
- The spouse of the person who died
- A parent of the person who died
- A child of the person who died
- Proof of your relationship is required
What to send with it
- The completed and signed application
- A photocopy of your photo ID
- Proof of your relationship, such as a marriage or birth record
- The state fee by check or money order payable to Vital Records
- A stamped, self-addressed business-size envelope
Where to send it
- Mail to
- Vital Records PO Box 95065 Lincoln, NE 68509-5065
- State fee
- $16 per certified copy
- Typical processing
- About 2 to 5 weeks
- Source
- Official government page