[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-280618-105":53,"doc-detail-280618-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","colorado-death-certificate-request-vital-records-application","Colorado Death Certificate Request - Vital Records Application","","Colorado Vital Records death certificate request form for ordering official copies of a death certificate. The form collects requester identity, mailing and physical addresses, relationship to the deceased or legal interest, and the reason for the request. It requires attaching appropriate identification and payment, signing acknowledgment of penalties for false pretenses, and providing deceased details such as date and place of death. It outlines ordering options in person, by mail, or online, accepted payment types, shipping timelines, certificate fees, and document requirements by requester relationship.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/colorado-death-certificate-request-vital-records-application/280618/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/colorado-death-certificate-request-vital-records-application/280618.png","ImageObject",442,249,{"name":88,"@type":89},"Lute","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-30","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":20},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What information must be completed on the Colorado death certificate request form?","Question",{"text":108,"@type":109},"The form requires requester details (name, addresses, phone), relationship or direct and tangible interest, reason for request, and deceased information such as date and place of death. It also includes signature and date fields.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What is required to show eligibility for the death certificate record?",{"text":113,"@type":109},"Colorado rules require the applicant to have a direct and tangible interest in the record requested, and proof of relationship may be required depending on who the requester is (e.g., spouse, parent, legal representative, genealogist). The form specifies acceptable proof types for each category.",{"name":115,"@type":106,"acceptedAnswer":116},"How can the death certificate request be submitted and what are the main fee basics?",{"text":117,"@type":109},"Requests can be made in person, by mail, or through online orders. Mail orders must include payment and required documentation, online orders use VitalChek payment methods, and certificate costs are listed as a base price for one certificate plus additional certificates and verification costs.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},280618,1789552765,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":20,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":125,"read_time":9},137454149569,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Colorado Death Certificate Request  \nVital Records  \n1675 W. Garden of the Gods Rd. Suite 2044  \nColorado Springs, [CO 80907 www.elpasocountyhealth.org](CO 80907 www.elpasocountyhealth.org)[ ](CO 80907 www.elpasocountyhealth.org)Email: [healthinfo@elpasoco.com | Phone:](healthinfo@elpasoco.com | Phone:) (719) 578-3199  \n[Online Orders: www.vitalchek.com](Online Orders: www.vitalchek.com)  \n• This request must be completed in full.  \nidentification.  \n• Enclose appropriate fees.  \n• Person requesting to receive death certificate must sign below.   \n• Proof of relationship or direct and tangible interest is required *(see   \nFOR OFFICE USE ONLY  \nDCN\\#  Cash  Check\\#   CC\\#    \nRequirements:  \n• Enclose a copy of a current driver’s license, passport or State   \nreverse side).  \nDeath certificates are available in the county Vital Records office where the  death occurred.  \nYour Name  \n\n| First Middle Last |  |\n| --- | --- |\n| Mailing Address City State Zip Daytime Phone\u003Cbr>( ) |  |\n| Physical Address City State Zip Alt Phone Number\u003Cbr>( ) |  |\n| Your relationship to deceased o Parent o Spouse\u003Cbr>(must submit proof of relationship) o Legal Representative\u003Cbr>*See reverse side | o Grandparent o Sibling o Child o Funeral Director\u003Cbr>o Other:  |\n| Reason for Request: o Insurance o Social Security o Property o Genealogy o Other: |  |\n\nDeceased Information o Check here if you are requesting a certificate of stillbirth  \n\n| FullNameofdeceased | First |  |  | Middle | Last |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Date of death\u003Cbr>(or range of dates) | Month | Day | Year | Date of birth or age at death (optional) |  |  | State of birth (optional) |  |\n| Place of death | City |  |  | County |  | State (Colorado Only) |  |  |\n| Pursuant to Colorado Revised Statutes, 1982, 25-2-118 and as defined by Colorado Board of Health Rules and Regulations, applicant must have a direct and tangible interest in the record requested. The penalties for obtaining a record under false pretenses include a fine of not more than $1,000.00, or imprisonment in the county jail for not more than one year or both such fine and imprisonment (CRS 25-2-118) . |  |  |  |  |  |  |  |  |\n| By signing below, I have read and understand that there are penalties for obtaining a record under false pretenses. |  |  |  |  |  |  |  | Today’s date |\n\nSign here  \n\n| Ordering options:\u003Cbr>• In person: walk-ins and appointments are welcome. For appointments, visit:\u003Cbr>[https://www.elpasocountyhealth.org/appointments](https://www.elpasocountyhealth.org/appointments)adults-children-families/birth-and-death-records/\u003Cbr>• Mail: Send application along with check, money order, or credit card information.\u003Cbr>Make check or money order payable toVital Records. Please do not send cash. Certificate(s) are mailed 3-5 days after receipt of all required documentation. Genealogy requests are available 2 weeks after all required documentation is submitted. Requests will be returned to sender's address if incomplete.\u003Cbr>• [Online orders:](Online orders: www.Vitalchek.com)[ ](Online orders: www.Vitalchek.com)[www.Vitalchek.com](Online orders: www.Vitalchek.com) | Charges:\u003Cbr>*Credit/Debit Card orders: (We do not accept credit cards without matching ID)\u003Cbr>CardType: O VISA O MASTERCARD (We do not accept Discover or American Express)\u003Cbr>Card Number:                 \u003Cbr>Exp. Date:  / CVV \u003Cbr>Cost of Certificates:\u003Cbr>Cost of Standard Death Certificates- $20.00 for one  \u003Cbr>$13.00 for each extra certificate – of the same record, ordered at the same time.  $13.00 Exchange rate-ALL original Certificates must be returned at the time of re-order  Cost of Verification of Death, or Legal format- $20.00 for one  \u003Cbr>$13.00 for each extra certificate – of the same record, ordered at the same time.\u003Cbr>Total Charges\u003Cbr>* All mail-in orders shipped via regular mail unless a pre-paid Fed-Ex or UPS envelope is provided by the customer. Weare not responsible for records lost in the mail.\u003Cbr>_","cbCainwbFQXmY3nR","https://ap.wps.com/l/cbCainwbFQXmY3nR","pdf",161233,"English","# Requester Information\n## Ordering Requirements and Penalties\n# Deceased Information\n## Stillbirth Certificate Option\n# Relationship and Document Requirements\n## Who May Receive a Death Certificate\n# Ordering Options and Charges","[{\"question\":\"What information must be completed on the Colorado death certificate request form?\",\"answer\":\"The form requires requester details (name, addresses, phone), relationship or direct and tangible interest, reason for request, and deceased information such as date and place of death. It also includes signature and date fields.\"},{\"question\":\"What is required to show eligibility for the death certificate record?\",\"answer\":\"Colorado rules require the applicant to have a direct and tangible interest in the record requested, and proof of relationship may be required depending on who the requester is (e.g., spouse, parent, legal representative, genealogist). The form specifies acceptable proof types for each category.\"},{\"question\":\"How can the death certificate request be submitted and what are the main fee basics?\",\"answer\":\"Requests can be made in person, by mail, or through online orders. Mail orders must include payment and required documentation, online orders use VitalChek payment methods, and certificate costs are listed as a base price for one certificate plus additional certificates and verification costs.\"}]","Colorado Death Certificate Request - Vital Records Application | PDF"]