Death Certificate

Welcome to Macken Funeral Home.  Thank you for taking the time to fill out this form.  Please complete any information that you know at this time.  Once you submit this form we will use this information to complete the Death Certificate.  If this is for a pre-need, we will keep this information on file until the time is needed.

Reasons why you may need certified death certificates

~Transferring of Real Estate Propery, Houses or Lots               ~Settling Insurance Claims (one per company)

~Transfer of Automobile, Boats, Trailers, etc. titles                    ~ Transfer of stocks, bonds or mutual bonds

~Transfer of checking, savings accounts                                    ~Entry into bank safety deposit boxes

~Veterans Administration benefits                                             ~For insured loans, insured credit cards

~Mortgage insurance                                                                 ~For legal counsel files

~Employers may require a copy                                                 ~Personal requests from family members

Death certificate form (PDF format)

If you would like to print this form instead of filling it out online please download our form so you may print it.

Online death certificate form

Online Death Certificate Information Form

Online Death Certificate Information Form for Macken Funeral Home
  • First, Middle, Last
  • First, Middle, Last
  • if applicable
  • 000000000 No dashes please
  • Leave blank for a preneed
  • Institution, City, State
    Leave blank for a preneed
  • County of which the death occurred
    Leave blank for a preneed
  • city, state, country
  • first, middle, last
  • first, middle, maiden
  • first, middle, last, madien
  • cemetery name, city, state
  • County which the cemetery is in
  • Informant is the person filling out this form; usually related in some way.
  • Unless we are otherwise notified, this is usually where the certified copies of the death certificate are sent also.
  • *this is a required field because we will email you a copy of this submitted form.
  • please use this space for any other information you think we should know.
  • Why a math problem? This simple math question helps guarantee the integrity of our submissions.