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VS - Request for Approval E-Filed Death Record
VS - Request for Approval E-Filed Death Record

This form is for the use of funeral homes who want to electronically file their death certificates with the appropriate local Vital Statistics office.  Every death record submitted for electronic filing via email/fax needs to be accompanied by this cover sheet; this document also includes the appropriate email addresses for electronic filing for every local Vital Statistics jurisdiction in Ohio.  Please click the "Download" button to access the form.