Check Requests only. Print this page and mail to: Hamilton County Tennessee Genealogical Society P.O. Box 274 Harrison, TN 37341 Death Certificate Request Form Please Print Date: Name: Address: City, State, Zip: Phone: E-mail Address: Name of Deceased Birth Year Death Year County Format Print/Digital Total Enclosed: Death Certificate copies for years 1908 – 1912 and 1914 – 1956 ONLY. An EXACT year of death must be provided. Fee will be retained even if no certificate is located. Print copy by mail: $8.00 each. Digital image in jpeg format by email: $6.00 each. Additional year search is $5.00 each. PLEASE MAKE CHECKS PAYABLE TO: Susan Kendall Thank you for your request. Hamilton County Tennessee Genealogical Society Fee