1. Click here
to open a blank e-mail to Linda Boorom.
2. In subject
type
Death Record.
3. Copy the form
below & paste into the body of the e-mail message.
4. Fill in the
information beginning with your name & e-mail address. Be sure to
include
the source (i.e.. Ohio Department of Health, Cincinnati
Department
of Health etc.) & the certificate # from the Death
Certificate.
Continue filling in information as it appears on the certificate. If
you
have additional comments to what is on the certificate you may include,
but in (parenthesis) so that others will no what information was given
in the actual certificate. There is also a place at the bottom where
you
may include additional information if you wish.
5. If you have
a .jpg image of the certificate please attach to the same e-mail
message.
We will include the image with the file on the web site.
6. Please review
the information for errors before sending the message. What will be
posted
online will be what you have typed in the message! We will not be
checking
for spelling errors etc. before posting.
7. For those who
have submitted information previously & wish the information to be
posted in the new format, please include the URL where the information
currently appears at the top of the message with a note to replace with
the following.
Note:
I have attempted to
include
information from both a 1947 death certificate and a 1987 certificate.
Not all information below is included in both of these years. Earlier
certificates
include even less information. Records previous to 1908 will not
contain as much information as later certificates
Only deaths in Hamilton Co. will be
accepted
for submission. Deaths outside Hamilton Co. "may" be accepted if the
deceased
was a resident of Hamilton Co. at the time of death.
If you have any
questions,
please contact Linda
Copy all below this line to the bottom line and paste into e-mail body & complete the information from the death certificate.
Death Certificate Extract
Your name:
Your e-mail:
Relationship, if any to
deceased:
Source:
Name:
Sex:
Race:
Date of Death:
Age:
County of Death: Hamilton
City, Village or
Location
of Death:
Hospital or Other
Institution:
Date of Birth:
Place of Birth:
Citizen of What Country:
Origin or Descent:
Social Security Number:
Was Deceased Ever In US
Armed Forces:
Marital Status:
Name of spouse:
Usual Occupation:
Kind Of Business or
Industry:
Residence - State:
County:
City, Village or
Location:
Street:
Father Name:
Father Birthplace:
Mother Maiden Name:
Mother Birthplace:
Informant - Name:
Mailing Address:
Death was caused by:
Burial, Cremation,
other:
Date:
Name of Cemetery or
Crematory:
Location:
Funeral Firm and Address:
Other information
from
submitter: