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Wyoming · Death

Wyoming Death Certificate Application (Form 1a) (Form 1a)

Official state formForm Form 1aFree downloadLast verified November 9, 2026

Combined request form for a certified copy of a Wyoming vital record, including death certificates. It is mailed to Vital Statistics Services at the Wyoming Department of Health.

Who can use this form

  • Immediate family: a parent, current spouse or child of the deceased
  • A lawyer representing the immediate family
  • A bank, executor of the estate or insurance company needing the certificate to pay a policy or benefit
  • Others who must show a personal or property right (requestor must be 18 or older)

What to send with it

  • The completed and signed request form
  • A photocopy of a valid government-issued photo ID, or a notarized signature on the form instead
  • A self-addressed stamped envelope
  • A check or money order payable to Vital Statistics Services

Where to send it

Mail to
Vital Statistics Services 2300 Capitol Avenue Cheyenne, WY 82002
State fee
$25 for the first copy, $20 for each additional copy
Typical processing
About 3 to 5 days
Source
Official government page
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Wyoming Death Certificate Application (Form 1a) (Form 1a) | Wyoming Form