Do I need a notary for the Application for Copy of Death Record?

No. The form has a signature and date line but no notary block or notarized attachment; the applicant just signs and dates it.

What information does the application request?

It asks for details about the deceased, the applicant’s relationship and capacity, the purpose of the request, and the number of copies requested.

What fee does the form list?

The application lists a fee of $10.00 per copy or No Record Certification and says not to send cash or stamps.

Norwich, NY · Chenango County

No notary required

Application for Copy of Death Record

This application requests a copy of a death record from the local registrar and is completed by the person seeking the record.

What this form is

Use this application to request a copy of a death record or a No Record Certification from the local registrar. It asks for the deceased person’s identifying details, date and place of death, applicant’s relationship and capacity, purpose for the request, signature, and address. The form lists a fee of $10.00 per copy and asks how many copies should include confidential cause-of-death information.

Who needs it

A person requesting a death record copy or No Record Certification completes this application and provides their relationship to the deceased.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; it does not mention a notarized or sworn attachment, so the applicant just signs and dates it.

How to submit this form

1
Download the Application
Download the Application for Copy of Death Record PDF.
2
Complete the Form
Enter the deceased person’s details, your relationship and capacity, the purpose of the request, and the requested copy information.
3
Sign and Date
Sign and date the application as the applicant.
4
Submit to the City
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Application for Copy of Death Record?: No. The form has a signature and date line but no notary block or notarized attachment; the applicant just signs and dates it.
How do I submit the death record copy application?: The form does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
What information does the application request?: It asks for details about the deceased, the applicant’s relationship and capacity, the purpose of the request, and the number of copies requested.
What fee does the form list?: The application lists a fee of $10.00 per copy or No Record Certification and says not to send cash or stamps.

Need something notarized?

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