Welcome to Death Certificate Form

PLEASE fill out the On-line Form, PRINT the completed form and submit IN PERSON or BY MAIL. Please allow 7 to 10 business days for regular mail.

We accept cash, check or credit/debit (service fee applies) in person. You can send check or money order for all mail requests. Payable to: The City of Stamford.

If you would like expedited service (USPS Express/Priority, Fed-Ex, UPS, DHL), please overnight the request to us and provide us with a pre-paid overnight envelope and we will overnight it back to you the same day we receive your request.

Please have all information and attachments readily available when completing this form.

If you require assistance, please contact the City Clerk's Office at (203) 977-4054

I acknowledge that I am authorized to complete this form, and am not acting on behalf of a third party.

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.

Full Legal Name

Your Initials

Signature Type

Type Draw Upload Custom

Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Additional Signatures Required

City of Stamford Town Clerk

Print Document

Welcome to Death Certificate Form

Create Your Signature

Sign Now!

Please provide accurate information below to ensure the delivery of the signed copies of the document.