Harford, NY · Cortland County
Application for Birth or Death Records
This application requests a copy of a birth or death record from the local registrar for a person who needs the record.
What this form is
Use this application to request a copy of a birth record or death record from the local registrar. It asks for details about the person named in the record, the applicant’s relationship and contact information, and the purpose of the request. The death record application states a fee of $10 per copy or No Record Certification and says not to send cash or stamps.
Who needs it
A person requesting a copy of a birth or death record from the local registrar can use 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; the document does not mention a notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Application
Download the birth or death record application PDF.
- 2
Complete The Application
Enter the requested record and applicant information, purpose, and number of copies where requested.
- 3
Check The Death Record Fee
For a death record request, note the listed fee of $10 per copy or No Record Certification; do not send cash or stamps.
- 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 birth or death record application?
- No. This application is signed and dated without a notary, and it does not mention a notarized or sworn attachment or related step.
- How do I submit the birth or death record application?
- 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 information about the person whose record is requested, the applicant’s relationship and contact details, and the purpose of the request.
- What fee does the death record application list?
- The death record application lists a fee of $10 per copy or No Record Certification. It says not to send cash or stamps.
