Do I need a notary for the Clay County death record application?

No. The application is signed without a notary. The applicant must include a photocopy of a driver’s license or state-issued photo ID.

What information does the application ask for?

It asks for details about the deceased, including name, dates, place of death, and parents’ names, as well as the applicant’s contact information, relationship, and intended use.

What is the genealogical copy price listed on the form?

The form lists genealogical copies at $5.00 each. It also lists prices for certified copies and additional copies.

Clay County, IL · Clay County

No notary required

Application for Search of Death Record

Clay County residents and other applicants use this application to request a certified or genealogical copy of a death record for a death that occurred in the county.

At a glance

Issued by: City of Clay County · Clay County, Clay County, Illinois
Notarization: Not required: file this form without a notary.
Official source: claycounty.illinois.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this application to request a certified copy or genealogical copy of a death record, provided the death occurred in Clay County. It asks for details about the deceased, the applicant’s contact information, relationship, and intended use, along with the number of copies and payment amount. A photocopy of a driver’s license or state-issued photo ID is required.

Who needs it

Anyone requesting a certified or genealogical copy of a death record for someone who died in Clay County should complete this application.

How to submit it

Send the application to Amy Britton, Clay County Clerk, P.O. Box 160, Louisville, IL 62858. Include a check or money order payable to Clay County Clerk and a photocopy of your driver’s license or state-issued photo ID.

About notarization

This application is signed without a notary; the applicant signs and provides a photocopy of a driver’s license or state-issued photo ID.

How to submit this form

1
Download the Application
Download the Clay County Application for Search of Death Record.
2
Complete the Application
Provide the deceased’s information, select the copy type and number, and fill in the applicant details and intended use.
3
Gather Required Items
Include a photocopy of your driver’s license or state-issued photo ID and a check or money order payable to Clay County Clerk.
4
Send It to the County Clerk
Send the completed application and required items to Amy Britton, Clay County Clerk, P.O. Box 160, Louisville, IL 62858.

Frequently asked questions

Do I need a notary for the Clay County death record application?: No. The application is signed without a notary. The applicant must include a photocopy of a driver’s license or state-issued photo ID.
How do I submit the death record application?: Send it to Amy Britton, Clay County Clerk, P.O. Box 160, Louisville, IL 62858. Include a check or money order payable to Clay County Clerk and the required photocopy of your photo ID.
What information does the application ask for?: It asks for details about the deceased, including name, dates, place of death, and parents’ names, as well as the applicant’s contact information, relationship, and intended use.
What is the genealogical copy price listed on the form?: The form lists genealogical copies at $5.00 each. It also lists prices for certified copies and additional copies.

Need something notarized?

This Application for Search of Death Record doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.