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Death Certificate and a Law Department Intake Sheet. 1. This form is to be used for petition for presumption of death of missing individual believed to be dead pursuant to O.C.G.A. § 53-9-1 et seq.Therefore, I request the Court to direct the Chief Medical Examiner to complete and sign a certificate of presumed death of this person. Persons missing and presumed dead; issuance of presumptive death certificate. The application for a Declaration of Presumed Death to the High Court costs £528. Obtaining a death certificate may prove problematic in the event of a casualty death with no body or sufficient body part found. If the Court approves the application and grants the Declaration then a request is made for a Certificate of Presumed Death to be issued. If the Court approves the application and grants the Declaration then a request is made for a Certificate of Presumed Death to be issued. If known, information necessary to complete the medical certification including the cause and manner of death. Order declaring presumption established; probate of will; letters testamentary or of administration; their effect; death certificate issued upon order.