Do I need a notary for the Death Record Request Form?

No. The form has an applicant signature and date line but no notary block or notarized attachment; the applicant just signs and dates it.

How do I submit the Death Record Request Form?

Complete the form and enclose the fee. The form says not to send cash or stamps but does not provide a submission address; check the city website for current contact details.

What information does the form request?

It asks for details about the deceased, the purpose of the request, the applicant’s relationship or capacity, and the number of copies requested with or without the confidential cause of death.

What fee does the form list?

The form lists $10.00 per copy or no-record certification and says not to send cash or stamps.

Malone, NY · Franklin County

No notary required

Death Record Request Form

This form lets an applicant request a death record or no-record certification from Malone’s local registrar by providing details about the deceased and the request.

What this form is

Applicants use this form to request a death record or a no-record certification. It asks for the deceased person’s identifying details, date and place of death, the purpose of the request, and the applicant’s relationship or capacity. For deaths occurring on or after January 1, 1988, it also asks how many copies are requested with or without the confidential cause of death.

Who needs it

Anyone requesting a death record or no-record certification from the local registrar should complete this form and provide the requested applicant and deceased-person details.

How to submit it

Complete the form and enclose the $10.00 fee per copy or no-record certification; do not send cash or stamps. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

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

How to submit this form

1
Download The Form
Download the Death Record Request Form PDF.
2
Complete The Form
Print or type the deceased person’s details, request purpose, applicant information, and requested copy options.
3
Gather The Fee
Enclose the listed $10.00 fee per copy or no-record certification. Do not send cash or stamps.
4
Submit The Request
Submit it to the local registrar; check the city website for current contact details because the form provides no submission address.

Frequently asked questions

Do I need a notary for the Death Record Request Form?: No. The form has an applicant signature and date line but no notary block or notarized attachment; the applicant just signs and dates it.
How do I submit the Death Record Request Form?: Complete the form and enclose the fee. The form says not to send cash or stamps but does not provide a submission address; check the city website for current contact details.
What information does the form request?: It asks for details about the deceased, the purpose of the request, the applicant’s relationship or capacity, and the number of copies requested with or without the confidential cause of death.
What fee does the form list?: The form lists $10.00 per copy or no-record certification and says not to send cash or stamps.

Need something notarized?

This Death Record Request Form doesn’t need a notary — but if you have another Malone form that does, a commissioned online notary can help.