There will be intermittent outages to the City's Website on Sunday, September 19th between 5:00 am and 4:00 pm for a planned system maintenance. We apologize for any inconvenience this may cause.

Everyone is required to stay home, except for essential needs. When out, protect yourself and those around you by wearing a face covering, staying 6 feet away from others, and washing your hands often. Learn more at cityofberkeley.info/covid19. City offices are closed to the public. Some services are available remotely.

The City of Berkeley Health Officer has ordered all residents to shelter at home, leaving only to receive or provide essential services, starting 12:01 am on Tuesday, March 17. See details of the Order, frequently asked questions, and recommendations from Berkeley Public Health at https://www.cityofberkeley.info/coronavirus.

City Council Live Stream: Please visit https://www.cityofberkeley.info/CalendarEventWebcastMain.aspx

ZAB Live Stream: Please visit http://www.cityofberkeley.info/Clerk/Commissions/Zoning_Adjustment_Board_Meeting_-_Video_Stream.aspx.

The City of Berkeley web site is undergoing scheduled maintenance starting on Friday night, September 13 and ending on Saturday afternoon, September 14. During this time, most web pages should be available, but some resources may become unavailable for short periods of time.

Looking for a live stream of the Zoning Adjustments Board (ZAB) meeting on 5/9/19, at 7:00pm? Please visit https://www.youtube.com/channel/UC1UAnZ8kU8EWllREyOY7rwQ/. The normal viewing methods will not work this time due to a concurrent City Council Special Meeting at the same time.

Looking for a live stream of the Zoning Adjustments Board (ZAB) meeting on 2/28/19, from 6:00 to 11:00 PM? Please visit http://www.cityofberkeley.info/Clerk/Commissions/Zoning_Adjustment_Board_Meeting_-_Video_Stream.aspx. The normal viewing methods will not work this time due to a concurrent City Council Special Meeting at the same date and time.

PG&E is reporting a widespread outage affecting thousands of customers in Berkeley and many City buildings, including the Finance Customer Service Center and the Permit Service Center. Call respective City services for further details, or check the PG&E outage page. Power is expected to return by 12:45pm. Traffic lights that are not working should be treated as a four-way stop sign.

Translation Disclaimer

Office of Vital Statistics
Office of Vital Statistics

Disposition Permit Form Instructions

VS9e Form2

  1. Boxes 1A, 1B and 1C you must enter the decedent's complete name
  2. Boxes 2 and 3, enter the Date of Birth and Death, respectively
  3. Box 4, 5A and 5B you must enter the sex, city and county of event, respectively
  4. On box 6, please retrieve this information directly from the death certificate boxes 26 and 27
  5. On box 7A, You must enter your name and address
  6. Box 7B must state " NONE ", since you are not a Licensed Funeral Home
  7. DO NOT SIGN OR DATE IT until you get to our office.   This document MUST be signed in front of our staff
  8. Boxes 9A enter the fee to issue a permit, which is $12.00
  9. DO NOT ENTER anything on box 9B or 9C
  10. Enter this address if you are filling the Disposition Permit in Berkeley
    • Berkeley City Health Department
    • 1947 Center Street, 1st Floor
    • Berkeley, CA 94704
  11. If dispostion is to occur in another county or district other than Berkeley, please use this box to specify what is the county/district name and address
  12. Box 10 is to be copied from the Certificate of Death box 39
  13. Boxes 11A, 12A, 13A, 14A or 15A MUST be retrieved from the data at the Certificate of Death.  You may use more than one box, if applicable.  For instance, if the person was cremated and scattered at the sea.  You have to use box 12A to enter the cremation information and box 15A to enter where the person's cremains was scattered.   You must remember also that this information, must be obtained directly from the Death Certificate box 40

If you have further questions, please click here and us.

 

 

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Office of Vital Statistics, 1947 Center Street 2nd.Floor, Berkeley, CA 94704
Questions or comments? Email: vitalrecords@cityofberkeley.info Phone: (510) 981-5320
(510) 981-CITY/2489 or 311 from any landline in Berkeley
TTY: (510) 981-6903
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