Cause of Death Affidavit
Translated forms
This form is also available in Spanish.
Additional forms that may be needed
This form should be filed with the other necessary forms to file for formal probate, informal probate, voluntary administration, or late and limited formal probate.
Alternative form
Most users should use Cause of Death Affidavit (MPC 475).
If you need to save a partially filled-out form, you may choose to use the alternative form:
This version of the form allows you to save a partially filled-out form to finish later or for re-use. This form must be downloaded and opened with Adobe Acrobat Reader on your computer.
For instructions on how to open, see What to do if you can't open court PDFs.
For more information or assistance
For assistance, please email pfcquestions@jud.state.ma.us.