Death Record Request Form - St. Clair County Clerk's Office

*IMPORTANT- ONLY DEATH RECORDS OF INDIVIDUALS WHO PASSED AWAY IN ST. CLAIR COUNTY ARE AVAILABLE FROM THE ST. CLAIR COUNTY CLERKS OFFICE*

Name of Person On Record:

First:

Last:

Date of Death (As close as possible):

Number of Copies Requested:

If this is a new death filing and there is a cremation, please select Yes to pay the $75 cremation permit fee along with any death certificates you are requesting:

Requestor's Name

Requestor's Mailing Address:

Mailing City:

State:

ZIP

Requestor's Email Address

Requestor's Phone Number