Death Certificate Templates

The first Death Certificate transcription form is for the Texas Death Certificates 1890 to 1976 database. The second template is for the Texas Death Certificates 1977 to 1981 database. There are two different databases and the form is slightly different.

Texas State Department of Health (1890 to 1976) database template

<ul class="basic">
<li><bi>Texas Deaths, 1890-1976</bi></li>
<li>Name: <sa></sa></li>
<li>Death Date: </li>
<li>Death Place: </li>
<li>Gender: </li>
<li>Race: </li>
<li>Death Age:  yrs     mos    dys</li>
<li>Estimated Birth Date: </li>
<li>Birth Date: </li>
<li>Birthplace: </li>
<li>Marital Status: </li>
<li>Spouse's Name: </li>
<li>Father's Name: <sa></sa></li>
<li>Father's Birthplace: </li>
<li>Mother's Name: <sa></sa></li>
<li>Mother's Birthplace: </li>
<li>Occupation: </li>
<li>Place of Residence:</li>
<li>Cemetery: </li>
<li>Burial Place: </li>
<li>Burial Date: </li>
<li>Informant:  <sa></sa></li>
<li>Certificate number: </li>
</ul>

Texas Death Certificates (1977 to 1981) database template

<ul class="basic">
<li><bi>Texas Deaths, 1977-1986</sa></li>
<li>Name: <sa></sa></li>
<li>Death Date: </li>
<li>Death Place: </li>
<li>Gender: </li>
<li>Race: White</li>
<li>Death Age:  yrs     mos    dys</li>
<li>Estimated Birth Date: </li>
<li>Birth Date: </li>
<li>Birthplace: </li>
<li>Marital Status: </li>
<li>Spouse's Name: <sa></sa></li>
<li>Father's Name: <sa></sa></li>
<li>Father's Birthplace: </li>
<li>Mother's Name: <sa></sa></li>
<li>Mother's Birthplace: </li>
<li>Occupation: </li>
<li>Place of Residence: </li>
<li>Cemetery: </li>
<li>Burial Place: </li>
<li>Burial Date: </li>
<li>Armed Forces Organization: </li>
<li>Next of Kin or Friend:  <sa></sa></li>
<li>Informant: <sa></sa></li>
<li>Image Number:  Vol.  #</li>
<li>Certificate Number: </li>
</ul>