Hospital deaths in San Antonio go to the City Clerk, not the county. The county page says it keeps a limited set of older rural and at-home records (and points hospital deaths to the city). For a typical recent death in San Antonio, start with the city.
Who may request
City of San Antonio: parent, grandparent, spouse, child, sibling, legal guardian, or attorney, with proof of relationship or legal interest. Texas DSHS also lists qualified requestors. Confirm on the office you will use.
What to bring
Valid ID as listed by Texas DSHS acceptable identification. In person, each applicant presents ID. Confirm the current list on sa.gov or bexar.org.
Where to write or visit
City Clerk vital records: see sa.gov death-certificate page (phone listed 210-207-7253). County Clerk, Vital Statistics: 100 Dolorosa, Suite 104, San Antonio, TX 78205. Read the county page before you pick a counter.
Notes from the desk
City of San Antonio lists $21 for the first copy and $4 for each additional copy of the same record in the same transaction. Extra fees apply to online orders. This desk takes no cut. The Bexar County Clerk did not publish a current death-copy dollar amount on the county page this check. Confirm county fees on bexar.org if you are actually using the county counter.