{"id":23039,"date":"2026-07-22T21:05:44","date_gmt":"2026-07-23T01:05:44","guid":{"rendered":"https:\/\/pickawaycountypublichealth.org\/?page_id=23039"},"modified":"2026-07-22T21:05:44","modified_gmt":"2026-07-23T01:05:44","slug":"death-certificate-request","status":"publish","type":"page","link":"https:\/\/pickawaycountypublichealth.org\/site\/death-certificate-request\/","title":{"rendered":"Death Certificate Request"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style-2\" id=\"frm_form_26_container\" data-token=\"d363aa430c5ea291c06efe47ed2d6713\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form frm_madlib frm_pro_form \" id=\"form_request-for-medical-records22\" data-token=\"d363aa430c5ea291c06efe47ed2d6713\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Request For Medical Records &#8211; Death<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"26\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_26\" id=\"frm_hide_fields_26\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"request-for-medical-records22\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_26\" name=\"frm_submit_entry_26\" value=\"b4e6d7b063\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/site\/wp-json\/wp\/v2\/pages\/23039\" \/><div id=\"frm_field_554_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Records Request Instructions<\/h3>\r\n\r\n\r\n<div id=\"frm_field_555_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p><strong>Notice to All Vital Statistics Customers:<\/strong><\/p>\n<p>Pursuant to Ohio Revised Code 3705.29, it is unlawful to purposely obtain, possess, use, sell, furnish, or attempt to obtain, possess, use, sell, or furnish to another for the purpose of deception any certificate, record, or certified copy of it that relates to the birth of another person, whether living or dead.<\/p>\n<p><strong>Who Can Order A Record: <\/strong><\/p>\n<p>Vital records (records of births, deaths, and fetal deaths) are public records in Ohio. This means that anyone who can submit the basic facts of a record may request a copy.<\/p>\n<p><strong>Placing An Order:<\/strong><\/p>\n<p>For the fastest response, we recommend placing your order in person. See our website at <a href=\"http:\/\/www.pchd.org\"><strong>www.pchd.org<\/strong> <\/a>or <strong><a href=\"http:\/\/www.odh.ohio.gov\/vs\">www.odh.ohio.gov\/vs<\/a> <\/strong>or call our customer service team at <strong>(614) 466-2531<\/strong> for detailed instructions and further explanation of these options.<\/p>\n<p><strong>Please complete one application form for each record or search requested. Please submit your applications with all available identifying information. If you do not have sufficient information to allow us to identify the certificate, you may request a search be performed rather than requesting a certified copy of the record.<\/strong><\/p>\n<p><strong>Birth Certificates:<\/strong><\/p>\n<p>Please complete the \u201cRecord Information\u201d portion of the application with the information as you believe it to be listed on the original birth record. If there have been any changes to the name of the person on the record, also provide the new name. Please identify the parents on the record as \u201cmother\u201d, \u201cfather\u201d, or \u201cparent\u201d, and provide their names prior to their first marriage (also known as maiden name). Birth records will be issued as certified abstracts unless you indicate that you are requesting the certified copy for the specific purposes of obtaining dual citizenship, international marriage or legal proceedings, or genealogy.<\/p>\n<p><strong>Death Certificates and Social Security Numbers:<\/strong><\/p>\n<p>As of October 15, 2015, for the first five years after the date of death the social security number of the deceased will not be included on the death certificate unless the requestor is:<\/p>\n<ul>\n<li>The deceased\u2019s spouse, or lineal descendant<\/li>\n<li>The deceased\u2019s executor, attorney, or legal agent<\/li>\n<li>A representative of an investigative government agency<\/li>\n<li>A private investigator<\/li>\n<li>A funeral director (or agent responsible for disposition of the body) acting on behalf of the deceased\u2019s family<\/li>\n<li>A veteran\u2019s service officer<\/li>\n<li>An accredited member of the media<\/li>\n<\/ul>\n<p><strong>Individuals requesting a death certificate with the social security number included must indicate on their application that they are requesting the SSN be included and submit satisfactory identification to the registrar or clerk. <a href=\"https:\/\/pickawaycountypublichealth.org\/site\/wp-content\/uploads\/2026\/07\/Listing-of-Satisfactory-Proof-of-Relationship-Policy.pdf\"><span style=\"color: #ff0000;\">(See attached list &#038; verification addendum).<\/span><\/a><\/strong><\/p>\n<p><strong>Fees:<\/strong><\/p>\n<p>In accordance with section 3705.24 of the Ohio Revised Code we are required by law to charge a fee for each certified copy of a vital record issued. The fee at this office for each certified copy of a birth, death, or fetal death record is <span style=\"color: #ff0000;\">$30.00<\/span> per certified copy.<\/p>\n<\/div>\n<\/div>\n<div id=\"frm_field_557_container\" class=\"frm_form_field form-field  frm_top_container frm4 frm_first\">\r\n\t<label for=\"field_rbz03\" id=\"field_rbz03_label\" class=\"frm_primary_label\">First name on death certificate\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_rbz03\" name=\"item_meta[557]\" value=\"\"  autocomplete=\"email\"  data-invmsg=\"First name on death certificate is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_558_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n\t<label for=\"field_v05xi2\" id=\"field_v05xi2_label\" class=\"frm_primary_label\">Middle name on death certificate\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_v05xi2\" name=\"item_meta[558]\" value=\"\"  autocomplete=\"email\"  data-invmsg=\"Middle name on death certificate is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_559_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n\t<label for=\"field_zlqbe2\" id=\"field_zlqbe2_label\" class=\"frm_primary_label\">Last name on death certificate\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_zlqbe2\" name=\"item_meta[559]\" value=\"\"  autocomplete=\"email\"  data-invmsg=\"Last name on death certificate is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_561_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_qbwuo2\" id=\"field_qbwuo2_label\" class=\"frm_primary_label\">Date of Death:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_qbwuo2\" name=\"item_meta[561]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date of Death: is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_562_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n\t<label for=\"field_q730o2\" id=\"field_q730o2_label\" class=\"frm_primary_label\">City and County where event occurred:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_q730o2\" name=\"item_meta[562]\" value=\"\"  data-invmsg=\"City and County where event occurred: is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_573_container\" class=\"frm_form_field  frm_html_container form-field\"><strong>CHARGES: $30.00 per copy ~<span style=\"color: #ff0000;\"> Mail \/ phone orders will be processed the following business day and sent regular U.S. mail. NO personal checks<\/span><\/strong><\/div>\n<div id=\"frm_field_575_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\"><strong>Same day issuance for records is Monday &#8211; Friday 8:00 am to 4:00 pm<\/strong><\/p>\n<p><span style=\"color: #ff0000;\"><strong>If ordering by phone please email request form to vitals@pchd.org then call 740-477-9667 to pay over the phone with debit\/credit card<\/strong><\/span><\/div>\n<div id=\"frm_field_576_container\" class=\"frm_form_field frm_section_heading form-field  frm12 frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Death<\/h3>\r\n\r\n\r\n<div id=\"frm_field_577_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first vertical_radio\">\r\n\t<div  id=\"field_7bnn_label\" class=\"frm_primary_label\">All death certificates will be issued without a social security number unless identification is provided confirming you are one of the below listed authorized requestors:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_7bnn_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_577-576-0\">\t\t\t<label  for=\"field_7bnn-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[577][]\" id=\"field_7bnn-0\" value=\"The deceased\u2019s spouse or descendent\"  data-sectionid=\"576\"  data-invmsg=\"All death certificates will be issued without a social security number unless identification is provided confirming you are one of the below listed authorized requestors: is invalid\"   \/> The deceased\u2019s spouse or descendent<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_577-576-1\">\t\t\t<label  for=\"field_7bnn-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[577][]\" id=\"field_7bnn-1\" value=\"The deceased\u2019s executor, attorney, or legal agent\"  data-sectionid=\"576\"  data-invmsg=\"All death certificates will be issued without a social security number unless identification is provided confirming you are one of the below listed authorized requestors: is invalid\"   \/> The deceased\u2019s executor, attorney, or legal agent<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_577-576-2\">\t\t\t<label  for=\"field_7bnn-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[577][]\" id=\"field_7bnn-2\" value=\"A representative of investigative government agency\"  data-sectionid=\"576\"  data-invmsg=\"All death certificates will be issued without a social security number unless identification is provided confirming you are one of the below listed authorized requestors: is invalid\"   \/> A representative of investigative government agency<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_577-576-3\">\t\t\t<label  for=\"field_7bnn-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[577][]\" id=\"field_7bnn-3\" value=\"A private investigator\"  data-sectionid=\"576\"  data-invmsg=\"All death certificates will be issued without a social security number unless identification is provided confirming you are one of the below listed authorized requestors: is invalid\"   \/> A private investigator<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_577-576-4\">\t\t\t<label  for=\"field_7bnn-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[577][]\" id=\"field_7bnn-4\" value=\"A funeral director (or agent responsible for disposition of the body) acting on behalf of the deceased\u2019s family\"  data-sectionid=\"576\"  data-invmsg=\"All death certificates will be issued without a social security number unless identification is provided confirming you are one of the below listed authorized requestors: is invalid\"   \/> A funeral director (or agent responsible for disposition of the body) acting on behalf of the deceased\u2019s family<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_577-576-5\">\t\t\t<label  for=\"field_7bnn-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[577][]\" id=\"field_7bnn-5\" value=\"A veteran\u2019s service office\"  data-sectionid=\"576\"  data-invmsg=\"All death certificates will be issued without a social security number unless identification is provided confirming you are one of the below listed authorized requestors: is invalid\"   \/> A veteran\u2019s service office<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_577-576-6\">\t\t\t<label  for=\"field_7bnn-6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[577][]\" id=\"field_7bnn-6\" value=\"An accredited member of the media\"  data-sectionid=\"576\"  data-invmsg=\"All death certificates will be issued without a social security number unless identification is provided confirming you are one of the below listed authorized requestors: is invalid\"   \/> An accredited member of the media<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_588_container\" class=\"frm_form_field  frm6 frm_html_container form-field\">\n<p><strong>Note: You must attach a copy of your identification showing you are an authorized requestor along with a copy of a valid driver\u2019s license<\/p>\n<p>See options for proof of authorization <a href=\"https:\/\/pickawaycountypublichealth.org\/site\/wp-content\/uploads\/2026\/07\/Listing-of-Satisfactory-Proof-of-Relationship-Policy.pdf\">here<\/a><\/strong><\/p>\n<\/div>\n<div id=\"frm_field_578_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm12\">\r\n\t<label for=\"field_j0c42\" id=\"field_j0c42_label\" class=\"frm_primary_label\">Number of copies requested ($30 per copy):\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_j0c42\" name=\"item_meta[578]\" value=\"\" data-sectionid=\"576\"  data-invmsg=\"Number of copies requested ($30 per copy): is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"100\" step=\"any\" \/>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_589_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Fetal Death:<\/h3>\r\n\r\n\r\n<div id=\"frm_field_592_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n\t<label for=\"field_ox8wc\" id=\"field_ox8wc_label\" class=\"frm_primary_label\">Number of fetal death record copies requested ($30 per copy):\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_ox8wc\" name=\"item_meta[592]\" value=\"\" data-sectionid=\"589\"  data-invmsg=\"Number of fetal death record copies requested ($30 per copy): is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"100\" step=\"any\" \/>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_580_container\" class=\"frm_form_field frm_section_heading form-field  frm_fi rst frm12\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Purchaser&#8217;s Information:<\/h3>\r\n\r\n\r\n<div id=\"frm_field_581_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_vqm612\" id=\"field_vqm612_label\" class=\"frm_primary_label\">Purchaser&#8217;s Name:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_vqm612\" name=\"item_meta[581]\" value=\"\"  data-sectionid=\"580\"  data-reqmsg=\"Purchaser&#039;s Name: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Purchaser&#039;s Name: is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_582_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n\t<label for=\"field_oxjqy2\" id=\"field_oxjqy2_label\" class=\"frm_primary_label\">Email:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"email\" id=\"field_oxjqy2\" name=\"item_meta[582]\" value=\"\"  data-sectionid=\"580\"  autocomplete=\"email\"  data-invmsg=\"Email: is invalid\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_594_container\" class=\"frm_form_field form-field  frm_top_container frm12\">\r\n\t<div  id=\"field_ycvcf_label\" class=\"frm_primary_label\">Address\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<fieldset aria-labelledby=\"field_ycvcf_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tAddress<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_594-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_ycvcf_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tAddress\t<\/label>\n\t\t<input type=\"text\" id=\"field_ycvcf_line1\" value=\"\" name=\"item_meta[594][line1]\"  data-sectionid=\"580\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_594-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_ycvcf_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tAddress\t<\/label>\n\t\t<input type=\"text\" id=\"field_ycvcf_line2\" value=\"\" name=\"item_meta[594][line2]\"  data-sectionid=\"580\"  data-invmsg=\"Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_594-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_ycvcf_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_ycvcf_city\" value=\"\" name=\"item_meta[594][city]\"  data-sectionid=\"580\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_594-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_ycvcf_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t<input type=\"text\" id=\"field_ycvcf_state\" value=\"\" name=\"item_meta[594][state]\"  data-sectionid=\"580\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_594-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_ycvcf_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_ycvcf_zip\" value=\"\" name=\"item_meta[594][zip]\"  data-sectionid=\"580\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<div id=\"frm_field_594-country_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_ycvcf_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tCountry\t<\/label>\n\t\t\t<select name=\"item_meta[594][country]\" id=\"field_ycvcf_country\"  data-sectionid=\"580\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\" class=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\" data-code=\"AF\">Afghanistan<\/option><option  value=\"Aland Islands\" data-code=\"AX\">Aland Islands<\/option><option  value=\"Albania\" data-code=\"AL\">Albania<\/option><option  value=\"Algeria\" data-code=\"DZ\">Algeria<\/option><option  value=\"American Samoa\" data-code=\"AS\">American Samoa<\/option><option  value=\"Andorra\" data-code=\"AD\">Andorra<\/option><option  value=\"Angola\" data-code=\"AO\">Angola<\/option><option  value=\"Anguilla\" data-code=\"AI\">Anguilla<\/option><option  value=\"Antarctica\" data-code=\"AQ\">Antarctica<\/option><option  value=\"Antigua and Barbuda\" data-code=\"AG\">Antigua and Barbuda<\/option><option  value=\"Argentina\" data-code=\"AR\">Argentina<\/option><option  value=\"Armenia\" data-code=\"AM\">Armenia<\/option><option  value=\"Aruba\" data-code=\"AW\">Aruba<\/option><option  value=\"Australia\" data-code=\"AU\">Australia<\/option><option  value=\"Austria\" data-code=\"AT\">Austria<\/option><option  value=\"Azerbaijan\" data-code=\"AZ\">Azerbaijan<\/option><option  value=\"Bahamas\" data-code=\"BS\">Bahamas<\/option><option  value=\"Bahrain\" data-code=\"BH\">Bahrain<\/option><option  value=\"Bangladesh\" data-code=\"BD\">Bangladesh<\/option><option  value=\"Barbados\" data-code=\"BB\">Barbados<\/option><option  value=\"Belarus\" data-code=\"BY\">Belarus<\/option><option  value=\"Belgium\" data-code=\"BE\">Belgium<\/option><option  value=\"Belize\" data-code=\"BZ\">Belize<\/option><option  value=\"Benin\" data-code=\"BJ\">Benin<\/option><option  value=\"Bermuda\" data-code=\"BM\">Bermuda<\/option><option  value=\"Bhutan\" data-code=\"BT\">Bhutan<\/option><option  value=\"Bolivia\" data-code=\"BO\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, Sint Eustatius and Saba<\/option><option  value=\"Bosnia and Herzegovina\" data-code=\"BA\">Bosnia and Herzegovina<\/option><option  value=\"Botswana\" data-code=\"BW\">Botswana<\/option><option  value=\"Bouvet Island\" data-code=\"BV\">Bouvet Island<\/option><option  value=\"Brazil\" data-code=\"BR\">Brazil<\/option><option  value=\"British Indian Ocean Territory\" data-code=\"IO\">British Indian Ocean Territory<\/option><option  value=\"Brunei\" data-code=\"BN\">Brunei<\/option><option  value=\"Bulgaria\" data-code=\"BG\">Bulgaria<\/option><option  value=\"Burkina Faso\" data-code=\"BF\">Burkina Faso<\/option><option  value=\"Burundi\" data-code=\"BI\">Burundi<\/option><option  value=\"C&ocirc;te d&#039;Ivoire\">C&ocirc;te d&#039;Ivoire<\/option><option  value=\"Cambodia\" data-code=\"KH\">Cambodia<\/option><option  value=\"Cameroon\" data-code=\"CM\">Cameroon<\/option><option  value=\"Canada\" data-code=\"CA\">Canada<\/option><option  value=\"Cape Verde\" data-code=\"CV\">Cape Verde<\/option><option  value=\"Cayman Islands\" data-code=\"KY\">Cayman Islands<\/option><option  value=\"Central African Republic\" data-code=\"CF\">Central African Republic<\/option><option  value=\"Chad\" data-code=\"TD\">Chad<\/option><option  value=\"Chile\" data-code=\"CL\">Chile<\/option><option  value=\"China\" data-code=\"CN\">China<\/option><option  value=\"Christmas Island\" data-code=\"CX\">Christmas Island<\/option><option  value=\"Cocos (Keeling) Islands\">Cocos (Keeling) Islands<\/option><option  value=\"Colombia\" data-code=\"CO\">Colombia<\/option><option  value=\"Comoros\" data-code=\"KM\">Comoros<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\" data-code=\"CK\">Cook Islands<\/option><option  value=\"Costa Rica\" data-code=\"CR\">Costa Rica<\/option><option  value=\"Croatia\" 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