Birth and Death Certificates

Use this form to order copies of birth and death certificates online.

Please be sure to enter each required field, marked with a red asterisk, before submitting the form.

Your order is not complete until you email your required proof of identity (ex. driver's license) and eligibility documents to: VRSCANDOCS@TPCHD.ORG. For a full list of documents to provide, return to the Birth and Death Certificate webpage. Eligibility documentation are documents that link you to the person on the record. If your name is on the record (i.e. self or parents), your proof of identity is enough. If you are not listed on the record, you must provide documentation to prove eligibility. Please contact us at 253-649-1402 if you need any further information. DISCLAIMER: IF YOU CHOOSE FEDEX AS YOUR SHIPPING METHOD, YOUR ORDER MAY BE DELAYED OR DELIVERED OUTSIDE OF THE ORIGINALLY PROJECTED DELIVERY DATE DUE TO REASONS THAT ARE OUTSIDE OF THE CONTROL OF THE TPCHD VITAL RECORDS DEPARTMENT.

Fees

	Certificate Type
	* Type:	Birth      Death      Fetal Death
	* Certificate Type	Short Form      Long Form (Certified)
	Send a Non-Certified Copy:	How would you like it sent?  Email       Fax * format (xxx) xxx-xxxx
	Birth Certificate Information
	* Copies:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
	* First Name on Record:
	* Middle Name on Record:
	* Last Name on Record:
	* Date of Birth:	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 1899 1898 1897 1896 1895 1894 1893 1892 1891 1890 1889 1888 1887 1886 1885 1884 1883 1882 1881 1880 1879 1878 1877 1876 1875 1874
	* City or County of Birth:
	* Parent/Mother's First Name:
	* Parent/Mother's Middle Name:
	* Parent/Mother's Maiden (birth) Name:
	* Parent/Father's First Name:
	* Parent/Father's Middle Name:
	* Parent/Father's Last (birth) Name:
	* Gender:	Male      Female      Other
	Death Certificate Information
	* Copies:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
	* Deceased First Name:
	* Deceased Middle Name:
	* Deceased Last Name:
	* Date of Death:	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 1899 1898 1897 1896 1895 1894 1893 1892 1891 1890 1889 1888 1887 1886 1885 1884 1883 1882 1881 1880 1879 1878 1877 1876 1875 1874
	* Age at time of death:
	* City of Death:
	* Name of Funeral Home:
	Requestor Information
	* Contact Name:
	* Email Address:
	* Address Line 1:
	Address Line 2:
	* City:
	* State:	Alabama Alaska American Samoa Arizona Arkansas Armed Forces Africa, Canada, Europe, Middle East Armed Forces Americas (except Canada) Armed Forces Pacific California Colorado Connecticut Delaware Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
	* Zip:
	* Phone:	format (xxx) xxx-xxxx
	Your relationship:
	Shipping
	* Shipping Method:	Standard Overnight In-Office Pickup at Tacoma-Pierce County Health Department
	Credit Card Payment
	* Payment:	New Credit Card
	* First Name on Card:
	* Last Name on Card:
	Use Mailing Address:
	* Billing Address:
	* Billing City:
	* Billing State:	Alabama Alaska American Samoa Arizona Arkansas Armed Forces Africa, Canada, Europe, Middle East Armed Forces Americas (except Canada) Armed Forces Pacific California Colorado Connecticut Delaware Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
	* Billing Zip:
	* Card Number:
	* Security Number:
	* Expire Date:	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034
	Charges
	Certificate Fees:	$0.00
	Processing:	$10.00
	Email/Fax Fee:	$25.00
	Additional Options:	$0.00
	Handling/Mailing Fee:	$0.00
	Grand Total:	$0.00

Immediately after you submit this application, please email your identity and/or eligibility documents to VRSCANDOCS@TPCHD.ORG. We will void any requests without required documents before 1 p.m. each business day. Click this box to acknowledge fees and requirements ---> DISCLAIMER: IF YOU CHOOSE FEDEX AS YOUR SHIPPING METHOD, YOUR ORDER MAY BE DELAYED OR DELIVERED OUTSIDE OF THE ORIGINALLY PROJECTED DELIVERY DATE DUE TO REASONS THAT ARE OUTSIDE OF THE CONTROL OF THE TPCHD VITAL RECORDS DEPARTMENT.