Chance's Genealogy
Vicki Lindsay Thauvin
 
shim
 
Benelux

Benelux Exchange
Death Certificate Submission

Please submit all information exactly as it appears on the Death Certificate or record. Click the Submit button below when finished.

If you are unable to use this form, please email me the information listed below.


Your Email:   e.g.: me@email.com
Last Name:   e.g.: Doe
First Name:   e.g.: John
Date of Death:   e.g.: 2017-02-19
(for February 19, 2017)
Town of Death:   e.g.: Deurne
County of Death:   e.g.: Antwerpen
Country of Death:  
Are you willing to
make the certificate
available to others?
 
   
 

This page was last updated on November 23, 2015.
Copyright © 1998-2017 Vicki Lindsay Thauvin