Fleischmanns, NY · Delaware County
Death Certificate Request
This application lets eligible applicants request a copy of a death record from the local registrar and provide information about the deceased and their request.
At a glance
- Issued by
- City of Fleischmanns · Fleischmanns, Delaware County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- fleischmannsny.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request a copy of a death record from the local registrar. It asks for the deceased person’s identifying details, place and date of death, the applicant’s relationship and purpose, and the number and type of copies requested. Applicants must include copies of the specified photo ID or address documents; those who are not a qualifying close relative must also submit documentation of a lawful right or claim.
Who needs it
A person requesting a death record copy should complete this application and provide the required identification and, when applicable, proof of a lawful right or claim.
How to submit it
Submit the completed application and required identification copies to the local registrar. The form lists a fee of $10 per certified copy or No Record Certification for other districts.
About notarization
This document is signed without a notary; the form requires identification copies and, for some applicants, documentation of a lawful right or claim, but does not say these must be notarized.
How to submit this form
- 1
Download The Application
Download the Death Certificate Request application.
- 2
Complete The Form
Enter the deceased person's details, your relationship and purpose, the requested copy information, and your contact details.
- 3
Gather Required Documents
Include copies of the required identification and, if applicable, documentation of a lawful right or claim.
- 4
Submit To The Local Registrar
Submit the completed application and attachments to the local registrar.
Frequently asked questions
- Do I need a notary for the Death Certificate Request?
- No. The application is signed without a notary. It requires identification copies and may require documentation of a lawful right or claim, but does not say those documents must be notarized.
- How do I submit the Death Certificate Request?
- Submit the completed application and required identification copies to the local registrar. The form does not provide an address or other contact details.
- What identification must I include?
- Include a copy of one listed valid photo ID, or copies of two listed documents showing your name and address. The form lists a driver license, non-driver photo ID, passport, employment ID, utility or telephone bills, and a recent government-agency letter.
- Who must provide documentation of a lawful right or claim?
- Applicants who are not the deceased person's parent, child, or spouse at the time of death must submit documentation of a lawful right or claim.
Need something notarized?
This Death Certificate Request doesn’t need a notary, but if you have another Fleischmanns form that does, a commissioned online notary can help.