Vital Form Statistics

(This form must be typed or printed clearly)
This form is used to complete the death certificate, which is a legal document and filed with the State of Florida. It is therefore important to fill completely and accurately with the proper spelling of names and places. Corrections to the death certificate require 6 8 weeks and there are fees that apply. / certify that to the best of my knowledge that all information provided is true and correct. Signature of person completing form x