Walton, NY · Delaware County
Mail-In Application for Genealogical Services
This application requests birth, death, or marriage records for genealogy research and is completed by a person seeking information about a deceased person.
What this form is
Use this application to request a search for a birth, death, or marriage record for genealogy purposes; the form says records cannot be provided for commercial purposes. It asks for details about the record and the applicant’s relationship to the person, and requires a signature and payment. Record access depends on the person’s death and the record’s filing period, unless a descendant documents direct-line descent.
Who needs it
A person seeking a birth, death, or marriage record for genealogy research can complete this application and provide required documentation.
How to submit it
Print and sign the application, then mail it with a check or money order and copies of required documentation to the Certification Unit, Vital Records Section, New York State Department of Health, P.O. Box 2602, Albany, NY 12220-2602.
About notarization
This document is signed without a notary; the applicant signs and dates the application, with no notarized or sworn attachment specified.
How to submit this form
- 1
Download the Application
Download and print the Mail-In Application for Genealogical Services.
- 2
Complete the Form
Provide the requested record and applicant information, then sign and date the application.
- 3
Gather Required Items
Include a check or money order and copies of any required documentation.
- 4
Mail the Application
Mail the application and accompanying items to the Certification Unit, Vital Records Section, at the address provided on the form.
Frequently asked questions
- Do I need a notary for the Genealogical Services Application?
- No. The application asks you to sign and date it; it does not specify a notarized or sworn attachment.
- How do I submit the Genealogical Services Application?
- Mail the signed application, check or money order, and copies of required documentation to the Certification Unit, Vital Records Section, New York State Department of Health, P.O. Box 2602, Albany, NY 12220-2602.
- What records can I request?
- The form is for genealogy requests for birth, death, or marriage records. It says vital records copies cannot be provided for commercial purposes.
- What information does the application ask for?
- It asks for details about the requested record, your relationship to the person, your purpose, your contact information, and the record’s recipient.