Plattsburgh, NY · Clinton County

No notary required

Application for Copy of Death Record

This application is for people requesting 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 details about the deceased, the applicant’s relationship and purpose, the number of copies requested, and the applicant’s contact information. The form lists a $10 fee per copy or No Record Certification and requires acceptable identification to be presented before a copy is issued.

Who needs it

Anyone requesting a copy of a death record or a No Record Certification should complete this application and present an accepted form of identification.

How to submit it

Submit it to the Local Registrar; the form lists a $10 fee per copy or No Record Certification and says not to send cash or stamps.

About notarization

This document is signed and dated without a notary; the signer must present one of the identification types listed on the form.

How to submit this form

  1. 1

    Download The Application

    Download the Application for Copy of Death Record.

  2. 2

    Complete The Application

    Enter the deceased’s details, request purpose, your relationship or capacity, contact information, and requested copy count.

  3. 3

    Gather Identification

    Bring one of the identification types listed on the form; it says a copy will not be issued unless acceptable identification is presented.

  4. 4

    Submit To The Local Registrar

    Submit the application to the Local Registrar. The form lists a $10 fee per copy or No Record Certification and says not to send cash or stamps.

Frequently asked questions

Do I need a notary for the death record copy application?
No. The application is signed and dated without a notary. The form says to present one of its listed identification types before a copy is issued.
How do I submit the death record copy application?
Submit it to the Local Registrar. The form lists a $10 fee per copy or No Record Certification and says not to send cash or stamps.
What information does the application ask for?
It asks for the deceased’s identifying and death details, the purpose of the request, your relationship or capacity, your contact information, and the number of copies requested.
What identification is accepted?
The form lists a driver’s license, non-driver’s license, passport, naturalization papers, military ID, employer photo ID, two utility bills showing your name and address, or a police report of lost or stolen ID.

Need something notarized?

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