Greene, NY · Chenango County
Death Record Request
This application requests a copy of a death record or a No Record Certification from the 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 and place of death, and information about the applicant, such as their relationship to the deceased, purpose for the record, address, signature and date. The form lists a $10 fee per copy.
Who needs it
A person requesting a death record copy or No Record Certification completes the application with details about the deceased and the applicant.
How to submit it
Apply to the Local Registrar. The form lists a fee of $10 per copy or No Record Certification and says not to send cash or stamps.
About notarization
This document is signed without a notary; the applicant just signs and dates the application.
How to submit this form
- 1
Download The Application
Download the Death Record Request application.
- 2
Complete The Application
Enter the deceased's details, the purpose for the record, your relationship and capacity, and your contact information.
- 3
Sign And Date
Sign and date the application. The form does not identify any attachments.
- 4
Apply To The Local Registrar
Apply to the Local Registrar. The form lists a $10 fee per copy and says not to send cash or stamps.
Frequently asked questions
- What is the Death Record Request used for?
- Use the application to request a copy of a death record or a No Record Certification. It asks for details about the deceased and the applicant.
- Do I need a notary for a Death Record Request?
- No. This application has a signature and date line but no notary block; the applicant just signs and dates it.
- How do I submit a Death Record Request?
- Apply to the Local Registrar. The form lists a fee of $10 per copy or No Record Certification and says not to send cash or stamps.