Plattsburgh, NY · Clinton County
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
Download The Application
Download the Application for Copy of Death Record.
- 2
Complete The Application
Enter the deceased’s details, request purpose, your relationship or capacity, contact information, and requested copy count.
- 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
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.
