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Application for Widowhood Certification

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Please fill in the fields of the form with the requested data. Please note that fields with an asterisk must be filled in.

Spouse's First and Last Name

Date of Marriage

Volume of the Marriage

Folio of the Marriage

Date of Death

Volume of the Death

Folio of the Death

Civil Registry

Other information you wish to add

Number of Certifications

To take effect in:

Once the process is completed must be notified to:

Telephone

Collect certifications in:

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