Stamford, NY · Delaware County
Death Certificate Application
Use this application to request a copy of a death record or a No Record Certification from a local registrar.
What this form is
This application is for requesting a copy of a death record or a No Record Certification. It asks for information about the deceased, including their name, date and place of death, and parents’ names, as well as the applicant’s relationship, purpose, contact details, and requested number of copies. The form lists a fee of $10 per copy.
Who needs it
A person requesting a death record copy or No Record Certification completes the application with details about the deceased and the request.
How to submit it
Submit the application to a local registrar. The form lists a $10 fee per copy and says not to send cash or stamps.
About notarization
This application is signed and dated without a notary; the form does not identify any attachment or related sworn step.
How to submit this form
- 1
Download The Application
Download the Death Certificate Application.
- 2
Complete The Application
Provide the deceased’s details, your relationship and purpose, your contact information, and the number of copies requested.
- 3
Review The Fee Instructions
The form lists a $10 fee per copy and says not to send cash or stamps.
- 4
Submit To A Local Registrar
Submit the completed application to a local registrar.
Frequently asked questions
- What does the Death Certificate Application request?
- It requests details about the deceased, the applicant’s relationship and purpose, and the number of copies requested, with or without confidential cause of death.
- Do I need a notary for the Death Certificate Application?
- No. The application is signed and dated without a notary, and it does not identify an attachment or related sworn step.
- How do I submit the Death Certificate Application?
- Submit it to a local registrar. The form lists a $10 fee per copy and says not to send cash or stamps.