Do I need a notary for the death record application?

No. This application has a signature and date field but no notary block or notarized attachment; the applicant just signs and dates it.

What information does the application request?

It asks for information about the deceased, the applicant’s relationship and purpose, the applicant’s contact details, and the number of copies requested.

Burke, NY · Franklin County

No notary required

Application to Local Registrar for Copy of Death Record

This application is for people 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 from the local registrar. It asks for details about the deceased, including name, date and place of death, and parents’ names, as well as the applicant’s relationship, purpose, contact information, and signature. The form lists a fee of $10 per copy or no-record certification.

Who needs it

Anyone requesting a death-record copy or no-record certification from the local registrar can use this application.

How to submit it

Submit the application to the local registrar. The form lists a fee of $10 per copy or no-record certification and says not to send cash or stamps.

About notarization

This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant just signs and dates it.

How to submit this form

1
Download the Application
Download the death record application.
2
Complete the Form
Enter the requested details about the deceased and applicant, then indicate the number of copies requested.
3
Sign and Date
Sign and date the application.
4
Submit to the Local Registrar
Submit the application to the local registrar. The form lists a $10 fee per copy or no-record certification.

Frequently asked questions

Do I need a notary for the death record application?: No. This application has a signature and date field but no notary block or notarized attachment; the applicant just signs and dates it.
How do I submit the death record application?: Submit it to the local registrar. The form lists a fee of $10 per copy or no-record certification and says not to send cash or stamps.
What information does the application request?: It asks for information about the deceased, the applicant’s relationship and purpose, the applicant’s contact details, and the number of copies requested.

Need something notarized?

This Application to Local Registrar for Copy of Death Record doesn’t need a notary — but if you have another Burke form that does, a commissioned online notary can help.