Application for Death Certificate from Hospital
[Here briefly focus on sample Application for Death Certificate from Hospital, Clinic, Doctor or medical center. This application letter for a death certificate is to be used to ask for a death certificate from official authorities for closing Bank Accounts, Property Division, Business Division or transfer by the son, daughter, brother, wife or relatives, etc. You can make any change to the below application as per your needs.]
Date: DD/MM/YY
Medical Officer…
Department name…
Hospital/Clinic name…
Subject: Application for a death certificate.
Respected Sir,
With due respect, it is to submit that my father/mother (Name), resident of (Address and area name) died because of sudden heart failure (Cause of death) on (Date: DD/MM/YY). (Describe in your words). His funeral services were conducted on (Date: DD/MM/YY)
I am his/her lawful inheritor and I request you to grant me his/her death certificate which is a legal prerequisite to carry on his/her business/wealth and to sort out some legal issues regarding his/her property. (Describe all about the cause and situation). All the necessary documents and hospital certificates are attached to this application. (Show required documents).
Kindly, grant my request as early as possible and enable me to submit the required document. (Cordially describe your greetings and requirements). I shall be highly grateful.
Sincerely,
Your name…
Contact Info. and signature…
Another Format,
Date: DD/MM/YY
Medical Officer…
Department name…
Hospital/Clinic name…
Sub: Application for Death Certificate
Dear Concern,
I am writing for death certificate of my (Father/mother/relative name) (Name, national ID number, Date of birth and other information) who has been passed away in this hospital (date) after heart attack/Dengue (disease type) or severe injuries during a road accident (Cause of death). (Describe in your words). We moved our (Father/mother/relative name) to this hospital from a local clinic for better treatment but he could not recover due to head injuries (Cause). (Describe actual cause and situation). I am attaching hospital slips from the clinic as well as of your hospital for reference. (Show required documents).
Furthermore, you can recheck the hospital record. We need a death certificate for further procedures. We need it urgently for closing his Bank Accounts, Licences, and Passport with Visas, etc. (Describe all about the situation).
I request you to please issue his death certificate urgently to avoid any other incident. (Cordially describe your greetings and requirements).
Thanking You,
Your name…
Contact Info. and signature…
