Birth or Death Certificate Application for Agency
- This form is not intended for funeral homes or personal use.
- Subpoenas must be submitted directly to the Southern Nevada Health District Legal Department at 702-759-1000.
- Requests submitted on behalf of an agency or organization must include either an official letter on company letterhead or a completed application with an explanation and/or proof of legal need.
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- The requester must be a qualified applicant with a direct and tangible interest, as outlined in NAC 440.070.
- For guidance on acceptable documentation, visit: Proof of Relationship
- If you are requesting a record verification only, please clearly state this in your written request.
- Fees for birth and death certificates are not waived, in accordance with NRS 440 and NAC 440.
If a record is not found, a non-refundable $10.00 search fee may be applied.
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Updated on: June 17, 2025