Livingston, NY · Columbia County
Application to Local Registrar for Copy of Death Record
This application lets a person request a copy of a death record from the local registrar by providing details about the deceased and the applicant.
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, place and date of death, and the applicant’s relationship to the deceased and purpose for the request. The form also requests the number of copies, with or without the confidential cause of death.
Who needs it
A person requesting a death record copy or No Record Certification from the local registrar completes this application.
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 application is signed and dated without a notary; it lists no sworn or notarized attachment.
How to submit this form
- 1
Download The Application
Download the death record copy application PDF.
- 2
Complete The Form
Enter the requested information about the deceased and applicant, and specify the number of copies.
- 3
Review And Sign
Check the information, then sign and date the application.
- 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 death record copy application?
- No. The application has a signature and date line but no notary block or notarized attachment.
- How do I submit the death record copy application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application ask for?
- It asks for details about the deceased, your relationship and purpose, your contact information, and the number of copies requested.
Need something notarized?
This Application to Local Registrar for Copy of Death Record doesn’t need a notary — but if you have another Livingston form that does, a commissioned online notary can help.