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Wisconsin Death Certificate Application (Form F-05280) (F-05280)

Official state formForm F-05280Free downloadLast verified November 9, 2026

Form F-05280 is used to request a certified copy of a Wisconsin death certificate from the Wisconsin Department of Health Services, State Vital Records Office. Certified copies require a direct and tangible interest.

Who can use this form

  • Immediate family: a parent named on the certificate, sibling, current spouse, child, grandparent or registered domestic partner
  • A legal custodian or guardian of the person named on the certificate
  • A representative authorized by one of the above, including an attorney
  • Anyone who can show the certificate is needed to protect a personal or property right

What to send with it

  • The completed and signed application
  • A photocopy of your valid photo ID (expired IDs are not accepted)
  • A check or money order payable to STATE OF WIS. VITAL RECORDS
  • A self-addressed, stamped, business-size envelope
  • Any additional proof or authorization required

Where to send it

Mail to
State Vital Records Office PO Box 309 Madison, WI 53701-0309
State fee
$20 for the first copy, $3 for each additional copy
Typical processing
Up to 2 weeks plus mail time
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Wisconsin Death Certificate Application (Form F-05280) (F-05280) | Wisconsin Form