St. Armand, NY · Essex County
Copy of Death Record Application
This application is for a person requesting a copy of a death record or a no-record certification from the local registrar.
What this form is
Use this application to request a copy of a death record or a no-record certification. It asks for information about the deceased, including name, date and place of death, and parents’ names, as well as the applicant’s relationship, purpose, contact details, signature, and date. The form lists a $10 fee per copy and requests the number of copies with or without the confidential cause of death.
Who needs it
Anyone requesting a copy of a death record or no-record certification can use this application to provide the requested details.
How to submit it
Submit it to the local registrar named on the form; check the city website for current contact details. The form lists a $10 fee per copy and says not to send cash or stamps.
About notarization
This document is signed without a notary; the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Copy of Death Record Application.
- 2
Complete The Form
Enter the deceased’s details, your relationship and purpose, your contact information, and the number of copies requested.
- 3
Prepare The Fee
The form lists a $10 fee per copy and says not to send cash or stamps.
- 4
Submit To The Local Registrar
Submit the application to the local registrar named on the form; check the city website for current contact details.
Frequently asked questions
- What can I request with this application?
- You can request a copy of a death record or a no-record certification. The form also asks how many copies you want with or without the confidential cause of death.
- What information does the application ask for?
- It asks for details about the deceased, the applicant’s relationship and purpose, the applicant’s contact information, and the requested number of copies.
- Do I need a notary for the Copy of Death Record Application?
- No. This document is signed without a notary; the applicant just signs and dates it.
- How do I submit the Copy of Death Record Application?
- Submit it to the local registrar named on the form and check the city website for current contact details. The form lists a $10 fee per copy and says not to send cash or stamps.
Need something notarized?
This Copy of Death Record Application doesn’t need a notary — but if you have another St. Armand form that does, a commissioned online notary can help.