Do I need a notary for the death record copy application?

No. The application has a signature and date field but no notary block. It requires identification copies and, for some applicants, documentation of a lawful right or claim.

What identification must I include?

The form requires copies of either one listed valid photo ID or two listed documents showing your name and address, such as utility or telephone bills or a recent government-agency letter.

Who must provide documentation of a lawful right or claim?

Applicants who are not the deceased’s parent or child, or the deceased’s spouse at the time of death, must submit documentation of a lawful right or claim.

Moira, NY · Franklin County

No notary required

Application to Local Registrar for Copy of Death Record

This application requests a copy of a death record and is completed by someone seeking the record from a local registrar.

At a glance

Issued by: City of Moira · Moira, Franklin County, New York
Notarization: Not required: file this form without a notary.
Official source: cdn.townweb.com
Blank form: Download the PDF
Catalogued: Sep 28, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this application to request copies of a death record and provide details about the deceased, the applicant, the purpose of the request, and the applicant’s relationship or capacity. The form requires copies of specified identification and says applicants who are not the deceased’s parent, child, or spouse at the time of death must submit documentation of a lawful right or claim.

Who needs it

Anyone requesting a copy of a death record from a local registrar must complete the application and provide the required identification copies.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. Include copies of the identification required by the form.

About notarization

This application is signed and dated without a notary; it requires identification copies and, for some applicants, 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 Application
Fill in the deceased’s details, your relationship or capacity, purpose for the request, number of copies, and applicant information.
3
Gather Identification
Include copies of either one listed valid photo ID or two listed documents showing your name and address.
4
Add Supporting Documentation
If you are not the deceased’s parent, child, or spouse at the time of death, include documentation of a lawful right or claim.
5
Submit To The City
Submit the application to the city department named on the form; check the city website for current contact details.

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. It requires identification copies and, for some applicants, documentation of a lawful right or claim.
How do I submit the death record copy application?: Submit it to the city department named on the form and check the city website for current contact details. Include copies of the identification required by the application.
What identification must I include?: The form requires copies of either one listed valid photo ID or two listed documents showing your name and address, such as utility or telephone bills or a recent government-agency letter.
Who must provide documentation of a lawful right or claim?: Applicants who are not the deceased’s parent or child, or the deceased’s spouse at the time of death, must submit documentation of a lawful right or claim.

Need something notarized?

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