Red Hook, NY · Dutchess County
Application for a Copy of a Death Record
This application lets eligible applicants request certified copies of a death record from the local registrar and provide identification and details about the record.
At a glance
- Issued by
- City of Red Hook · Red Hook, Dutchess County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- redhookvillage.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request certified copies of a death record from the local registrar. It asks for information about the deceased, the applicant’s relationship and purpose, the number of copies requested, and applicant contact details. Include the required copies of identification; applicants who are not the deceased’s parent, child, or spouse at the time of death must provide documentation of a lawful right or claim.
Who needs it
A person requesting a death record copy who can provide the required identification and, when applicable, documentation of a lawful right or claim needs 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; attach the required identification copies and, if applicable, documentation of a lawful right or claim.
How to submit this form
- 1
Download The Application
Download the death record copy application.
- 2
Complete The Form
Enter the deceased’s details, your relationship and purpose, the number of copies requested, and your contact information.
- 3
Gather Required Attachments
Include the required identification copies and, if applicable, documentation of a lawful right or claim.
- 4
Sign And Submit
Sign and date the application, then submit it to the city department named on the form.
Frequently asked questions
- Do I need a notary for the death record copy application?
- No. The application has a signature and date field but no notary block. Include required identification copies and, if applicable, documentation of a lawful right or claim.
- How do I submit the death record copy application?
- The form does not provide a submission address or method. Submit it to the city department named on the form; check the city website for current contact details.
- What identification must I include?
- Include copies of either one listed form of valid photo ID or two listed documents showing your name and address. The form lists examples of each.
- What fee does the application list?
- The form lists a fee of $10 per certified copy or No Record Certification.
