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Complete and Ready to Use: 6 Correct Death Certificate Examples

  • dev_kamboja
  • (updated )
  • 6 min read
Complete and Ready to Use: 6 Correct Death Certificate Examples

Are you preparing to get a death certificate from the RT/RW, the village office, or Dukcapil? You will certainly need to see a correct death certificate example. Do you already know how to make one?

Not only birth certificates, people who have passed away also need a death certificate. Issuing a death certificate serves as proof or legal recognition that a person has died. In this way, the state recognizes the death through a population document in the form of a death certificate.

In the process, the way to get a death certificate is to request a referral letter from the RT/RW and the village, which is then processed by Dukcapil with several requirements attached.
A death certificate can serve many purposes. It depends on what it is needed for, such as handling various administrative matters and others. So, it is best to take care of this document as soon as possible if a family member or relative has passed away.

Death Certificate

A death certificate is a document stating that a person has died and is issued by Dukcapil.

According to the disdukcapil.pontianakkota website, every death must be reported to the head of the RT or the authorized party at the implementing agency no later than 30 days from the date of death.

So, the way to get a death certificate is to request a letter from the RT/RW and the village, which Dukcapil then processes. The way to obtain a death certificate for someone who died long ago is the same, but it must be reinforced with a stamp duty (materai).

So, is it mandatory to make a death certificate?

A death certificate is an important requirement in handling documents such as death benefits, inheritance, accident benefits, insurance, and various other administrative needs. So, making a death certificate is mandatory, as it is also regulated under Indonesian Presidential Regulation Number 25 of 2008.

Benefits of a Death Certificate

A death certificate has a number of important benefits, especially for the family left behind and for the deceased. There are at least five benefits of having a death certificate. Here are those five benefits:

1. Preventing Misuse of the Data of Deceased Persons

Nowadays, it is very easy to find cases of misuse of a person's data. The problem is that much of the population data of people who have died is used to commit crimes, such as fraud.

When you or your family make a death certificate for a deceased person, the important data of the late person cannot be misused to commit crimes.

2. Ensuring the Accuracy of Population Data

Population data is very important because it concerns the rights and obligations of each person. For example, it relates to paying taxes, participating in general elections, and receiving government assistance.

If a death is not reported, there is a high chance that the deceased person will still be held to obligations as a citizen. In addition, recording deaths helps the state distribute assistance accurately and on target.

3. Status Determination

Its first function is to determine a person's status as a widower or widow, especially for a civil servant (PNS, Pegawai Negeri Sipil). A death certificate is needed as one of the requirements for remarriage.

4. Inheritance Distribution

A death certificate also serves as a requirement in processing inheritance or transferring land rights to heirs, whether a husband, wife, or child.

5. For Handling Insurance

In fact, quite a lot of people take out insurance to protect against unwanted events, such as death. Making a death certificate makes it easier to handle the financial needs of family members, such as death benefits, Taspen, pension funds, accident benefits, and insurance claims.

Having learned these benefits, you should now make a death certificate for your deceased family member as soon as possible. If you are still unsure how to make a death certificate, look at the following examples!

Examples

Nomor Induk Kependudukan No. Pencatatan Sipil Warga Negara Indonesia Kutipan Akta Kematian Berdasarkan Akta Kematian Nomor …………………………………………………… Menurut stbld, - …………………………………………………………………………… bahwa di ……………………………………………. pada tanggal …………………………………………. telah meninggal dunia seorang bernama …………………………………………………………. lahir di …………………………………. pada tanggal ……………………………………………... ………………………………………….. tahun ………………………………………………………. …………………………………………………………………………………………………………… Kutipan ini dikeluarkan ………………….. pada tanggal ……………………………... Kepala …………………………………….

Example of a Death Declaration Letter

SURAT PERNYATAAN KEMATIAN Yang bertanda tangan di bawah ini: Nama: Usia: Pekerjaan: Alamat: Agama: Nomor KTP: Saya selaku ……………. dari ……………… Dengan ini menyatakan secara sebenarnya, bahwa: Nama: Jenis Kelamin: TTL: No. KTP: Agama: Nama Ayah: Nama Ibu: Alamat yang sesuai dengan KTP: Telah meninggal dunia pada: Hari: Tanggal: Tempat meninggal: Demikian pernyataan ini telah saya buat sesuai keadaan sebenarnya dan apabila surat pernyataan ini di kemudian hari tidak benar, saya bersedia dikenai sanksi yang sesuai dengan hukum serta Peraturan Perundang-Undangan berlaku di Indonesia. Materai Rp 10.000 Saksi I Nama: Usia: Alamat: Saksi II Nama: Umur: Alamat: Mengetahui Ketua RT Ketua RW Lurah

Example of an RT Death Letter

SURAT KETERANGAN KEMATIAN No Yang bertanda tangan di bawah ini Ketua RT/RW ………. menerangkan bahwa: Nama: TTL: Jenis Kelamin: NIK: Pekerjaan: Status Perkawinan: Alamat: Benar warga kami, telah meninggal di hari …., tanggal ……. di ……………….. karena ………… Demikianlah surat keterangan kematian ini dibuat untuk bisa dipergunakan dengan sebagaimana mestinya. …….., …………… Ketua RT

Death Certificate Letter

KOP SURAT SURAT KETERANGAN KEMATIAN NO. Yang bertanda tangan di bawah ini Ketua RT …………………………... Menerangkan bahwa: Nama: TTL: Agama: Pekerjaan: Alamat: Telah Meninggal Dunia Pada: Hari/Tanggal: Pukul: Tempat: Dimakamkan di: Demikian saya buat surat keterangan kematian ini dibuat dengan sebenarnya agar bisa digunakan sebagaimana mestinya. Tempat, tanggal Mengetahui Ketua RW Ketua RT

Death Letter from the Village

KOP SURAT SURAT KETERANGAN KEMATIAN NO Yang bertanda tangan di bawah ini Kepala Desa ………….., menerangkan bahwa: Nama: Bin/Binti: Jenis Kelamin: NIK: TTL: Warganegara/Agama: Pekerjaan: Status Pernikahan: Alamat: Telah meninggal dunia pada: Tanggal: Pukul: Tempat meninggal: Sebab kematian: Berdasarkan surat pernyataan dari: Nama: TTL: NIK: Alamat: Surat Keterangan ini dibuat untuk Keamanan. Demikian surat keterangan ini dibuat, atas kerjasama dan perhatiannya kami ucapkan terima kasih. Tempat, Tanggal Kepala Desa

Death Letter

KOP SURAT SURAT KETERANGAN MENINGGAL DUNIA NO Yang bertanda tangan di bawah ini Ketua RT …………….. Menerangkan bahwa: Nama: TTL: Jenis Kelamin: No. KK / KTP: Agama: Pekerjaan: Kewarganegaraan: Alamat: Adalah benar warga kami pada lingkungan RT/RW, Desa, Kecamatan, Kabupaten, telah meninggal pada: Hari/Tanggal: Pukul: Demikian surat keterangan meninggal dunia ini dibuat untuk digunakan dengan sebagaimana mestinya. Tempat, tanggal Pemohon Ketua RT

So, those are several death certificate examples that you should know and can use as a guide. If you run into difficulties, you can contact Kamboja's contact page, who can help with making a death certificate. Kamboja is the first funeral protection provider in Indonesia. Kamboja is ready to support your family with funeral protection that includes funeral management services and third-party arrangements, easily and affordably.

We hope this is helpful.

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The Kamboja team writes guides on bereavement, funeral arrangements and funeral planning to help families in Indonesia.

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