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Information Required for a Death Certificate

This is the information that the State of California requires on a Death Certificate.
All too often, the person who dies is the only one who knows some of these details.

• Your Full Legal Name
• Your Date of Birth
• Social Security #
• State (or Country) where you were born
• Military Service (Yes / No)
• Marital Status
• Education (# of years completed/highest degree earned)
• Race
• Usual Employer
• Occupation
• Kind of Business
• Years in Occupation [or, what year did you start in this occupation?]
• Years Residing in County of Residence [i.e., what year did you originally move to this County?]
• Usual Residence Address
• Full Name of Surviving Spouse (if applicable)
• Full Name of Your Father
• Full Name of Your Mother
• Father's Birth State (or Country)
• Mother's Birth State (or Country)
• Burial/Cremation Specifics and Place of Final Disposition [if known ahead of time]