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1 REV DR MARTIN LUTHER KING JR DR
WILLINGBORO, NJ 08046


PHONE: (609) 877-2200

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Registrar - Vital Statistics

Vanessa Clouden
Certified Municipal Registrar
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P: 609-877-2200 xt:1011

Death Certificate Request

  pdf Click here to download a Death Certificate Request Form. (1.54 MB)

You can also obtain a hard copy of the application at the Vital Statistics window in the Municipal Building (please note the Vital Statistics hours of operation).

Use this form to apply for:

  • Death Certificate(s)

Instructions

Death certificates are filed in the township where demise was officially pronounced.

To obtain a certificate, please remit your application, payment, and supporting documents in person at the Vital Statistics window in the Municipal Building.

The immediate family or Executor/Executrix must show identification in order to secure a certified raised sealed copy. 

(Immediate family members includes the following ONLY:  Mother, Father, Sister, Brother, and Children). 

Fees & Payment

There is a $25 fee for the initial certificate and a fee of $5.00 for every copy requested thereafter.

Personal checks, money orders, and cash are accepted.

Documentation

The required documents to obtain a Death Certificate(s) are:

  • A valid driver's license or state issued identification and/or a valid passport.
  • The fee is $25.00 and $5.00 for each additional Death Certificate.