Order a Death Certificate FacebookThis field is for validation purposes and should be left unchanged.Online Requests for Funeral HomesTHIS FORM IS FOR FUNERAL HOME USE ONLY. Public users, please click here to request death certificates.Payment/Pickup Preference* Pay online, pick up documents in person Pay online, mail documents Pick up certificates in person and pay with a check Please allow 24 hours processing for all pickup requests. For questions about pickup or mail times please email clerk@ioniacounty.org.Death Record InformationFull Name of Deceased* First Middle Last City or Township where death occured*Year of Death*Was the deceased a veteran?YesNoContact InformationName* First Last Email* Phone*Mailing InformationStreet Address* Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Number of Copies*Copies are $20 for the first copy and $10 for each additional copy.Please indicate the date and a rough estimate of the time that you intend to pick up your purchased documents. PLEASE NOTE: We will need at least twenty-four (24) hours to prepare your documents.Date* Time Hours : Minutes AM PM AM/PM This field is hidden when viewing the formDeath Record Copy Fee