It's a New Day in Public Health.
The Florida Department of Health works to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts.
Death Certificates
Florida Department of Health in Sumter County
- 352-569-3102
- DLCHD60WebManager@flhealth.gov
-
Mailing Address
P.O. Box 98
Bushnell, FL 33513
All Requests for birth records MUST INCLUDE a copy (front and back) of your driver's license/state issued identification. Applications will be returned without legible required documents.
Frequently Asked Questions
Q. How much does a death certificate cost?
A. The cost for a each certified copy is $12.00.
Q. How much does a death certificate cost?
A. The cost for a each certified copy is $12.00.
Q. Can I pay for a death certificate with a credit card?
A. Yes, we accept Visa and MasterCard at this time. You may come in person, fax or mail your completed application. Valid Photo identification is also required if you are requesting the cause of death.
Q. How long does it take to obtain the death certificate once you receive my application?
A. We process the application the same day that it is received whether it is in person, via mail or fax.
Q. Who can obtain a death certificate?
A. Death certificates without the cause are available to anyone. However, a Florida Death Certificate with the cause of death is confidential and available only to the following: The Decedent's spouse, parent, child, grandchild, or sibling (if 18 years of age or older). Any person who provides a "Will" that has been executed pursuant to state statute 732.502; an insurance policy or other document that demonstrates his or her interest in the estate of the decedent; Any person who provides documentation that he or she is acting on behalf of any of the previously mentioned persons.
Q. What if I need someone who is not authorized to receive a death certificate for me?
A. You may complete an Authorization to Release form DH1959. In addition to form DH1959, we will need photo identification from whoever is eligible to receive as well as who is being authorized to receive the certificate.
Q. How may I obtain a death certificate for someone who passed away in a state other than Florida?
A. If the death did not occur in Florida, please go to the following link to order certificates from other states: CDC website to obtain and print out an application for other states.
Place An Order
NOTE: Under current Florida Statutes, only the following people may receive a death certificate with the cause of death: In Florida anyone may order a Florida Death Certificate "Without cause of death".
- The decedent's spouse, parent, child, grandchild, or sibling (if 18 years of age or older).
- Any person who provides a "Will" that has been executed pursuant to state statute 732.502; an insurance policy or other document that demonstrates his other interest in the estate of the decedent;
- Any person who provides documentation that he or she is acting on behalf of any of the previously mentioned persons.
Application for Florida Death Record - English | Spanish
Applications are accepted in person at either of our two locations. You will complete an application and will need to provide valid identification if requesting the cause of death.
BUSHNELL
415 E Noble Avenue
Bushnell, FL 33513
PH (352)569-3139
THE VILLAGES
8015 E CR 466
The Villages, FL 32162
PH (352)689-4675
BY MAIL
A completed signed application. With the cause of death, Valid photo identification is required; Please check with our office if you have a question about your form of identification. Payment by check, money order or credit card. Mail request to:
Florida Department of Health in Sumter County
P.O. Box 98,
Bushnell, FL 33513.
BY FAX
Completed signed application, With the cause of death, Valid photo identification; Please check with our office if you have a question about your form of identification. Fax request to Sumter County Health Department at FAX (352) 339-7360.
NOTE: All fax orders must be paid by credit card. We accept Visa or MasterCard.
All Requests for birth records and death records including cause of death MUST INCLUDE a copy (front and back) of your driver's license/state issued identification. Applications will be returned without legible required documents.
BY VITAL CHEK®
VitalChek® is the only vendor recommended by the Florida Department of Health. VitalChek® is a 3rd party service, not affiliated with the Florida Department of Health. As such, fees charged by VitalChek® may be different than fees charged when ordering directly through your local health department office.
AMENDMENTS
To amend the medical certificate or cause of death section on the death certificate requires the certifying physician or medical examiner to complete and file the notarized Affidavit of Amendment to Medical Certification of Death, DH 434A (2005 Version) or Affidavit of Amendment to Medical Certification of Death, DH 434 (2004 and prior). This includes not only the cause of death and manner of death, but also the date of death, hour or time of death or the place of death other than street address. All amendments are processed through the Bureau of Vital Statistics.
Questions on the medical affidavit should be directed to the Bureau of Vital Statistics at (904) 359-6900, Extension 9013.
Apostille Certificates
Apostille birth certificates are those prepared to give to foreign countries.
The following situations are examples of when an Apostille birth certificate may be required.
- Transferred by your employer to a foreign county,
- Wanting to marry in a foreign country,or
- Adopting a child in a foreign country.
For more information and forms that are needed, visit Florida Bureau of Vital Statistics website: Apostille/Exemplified
Connect with DOH