Do I need a notary for the Death Record Copy application?

No. The applicant signs and dates this application; it does not require a notary.

How do I submit the Death Record Copy application?

Complete the form, enclose the stated fee, and send it to the local registrar. The form says not to send cash or stamps.

What does the Death Record Copy application request?

It requests details about the deceased, the applicant’s relationship and purpose, the applicant’s signature and address, and the address where the record should be sent.

Dunkirk, NY · Chautauqua County

No notary required

Application for Copy of Death Record

This application lets a person request a copy of a death record or a no-record certification from a local registrar.

What this form is

Use this application to request a copy of a death record or a no-record certification. It asks for information about the deceased, including name, date of death, Social Security number, and place of death, as well as the applicant’s relationship, purpose, signature, and mailing address. The form states a fee of $10 per copy or no-record certification.

Who needs it

Anyone requesting a copy of a death record or a no-record certification from a local registrar should complete this application.

How to submit it

Complete the form and enclose the stated fee of $10 per copy or no-record certification. The form is addressed to the Application to Local Registrar Vital Records Section and says not to send cash or stamps.

About notarization

This application is signed without a notary; the applicant just signs and dates it.

How to submit this form

1
Download The Application
Download the Death Record Copy application PDF.
2
Complete The Form
Print or type the deceased’s details, your relationship and purpose, and your applicant and mailing information.
3
Enclose The Fee
Include the stated fee of $10 per copy or no-record certification; do not send cash or stamps.
4
Submit To The Local Registrar
Send the completed application and fee to the local registrar as directed by the form.

Frequently asked questions

Do I need a notary for the Death Record Copy application?: No. The applicant signs and dates this application; it does not require a notary.
How do I submit the Death Record Copy application?: Complete the form, enclose the stated fee, and send it to the local registrar. The form says not to send cash or stamps.
What does the Death Record Copy application request?: It requests details about the deceased, the applicant’s relationship and purpose, the applicant’s signature and address, and the address where the record should be sent.

Need something notarized?

This Application for Copy of Death Record doesn’t need a notary — but if you have another Dunkirk form that does, a commissioned online notary can help.