Fillable Death Certificate



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VS-31 (Rev 1/30/2012) COMMONWEALTH OF KENTUCKY STATE REGISTRAR OF VITAL STATISTICS DEATH APPLICATION FOR A CERTIFIED COPY OF DEATH CERTIFICATE Certificates of Death that occurred in Kentucky since 1911 are on file in this office Please Print or Type All Information Required On This Form DEATH CERTIFICATE INFORMATION First Middle Last Year Age Last Birthday Kentucky City or Town Kentucky County Name of Hospital (if any) First Middle Last 1..




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