Funeral Home Charge Account Application - NEW

Download the NEW 2020 Application by clicking on the button below.  Questions?  Please call us at 602-372-0535, option 4.

And remember, this application is solely for the use of funeral home partners who maintain a charge account with the Maricopa County Department of Public Health Office of Vital Registration.  Thank you!

Download the electronic death certificate application link and save it to your desktop or favorites for future use.

Download Death Certificate Application

Watch the training or download directions to learn how to use the new funeral home electronic death certificate application.

Watch the Training Module

If you have questions, please contact Partner Financial Services at 602-372-0535.