African American Death Record

African American Death Records for submission to African American Griots Vital Records Project. Only African American death certificates prior to 1959 will be accepted. Enter information exactly as it appears on the Death Certificate. In cases where no information is listed, leave blank. Email addresses will not be shown with the record. Death Certificates are accepted in JPG and BMP formats.

1. Submitter
2. Email Address
3. File/Register No.
4. Surname
5. Given Name
6. Date of Death
7. State of Death
8. County of Death
9. Date of Birth
10. Place of Birth
11. Father's Name
12. Father's Birthplace
13. Mother's Maiden Name
14. Mother's Birthplace
15. Race & Sex
16. Spouse's Name (if any)
17. Place of Burial
18. Occupation
19. Informant
20. Comments

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