What does the death record application request?

It requests copies of a death record or a No Record Certification. The form asks for information about the deceased, the applicant, the request’s purpose, and where to send the record.

Do I need a notary for an Application to Local Registrar for Copy of Death Record?

No. This application is signed and dated without a notary, and it lists no notarized attachment or sworn step.

Santa Clara, NY · Franklin County

No notary required

Application to Local Registrar for Copy of Death Record

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

What this form is

Use this application to request copies of a death record or a No Record Certification from the local registrar. The form asks for details about the deceased, the applicant, the purpose of the request, and where the record should be sent. It states a fee of $10 per copy or No Record Certification and says not to send cash or stamps.

Who needs it

Anyone requesting a copy of a death record or a No Record Certification for a death occurring on or after January 1, 1988 may use this application.

How to submit it

Send the completed application to the local registrar with the stated $10 fee per copy or No Record Certification. Do not send cash or stamps.

About notarization

This application is signed and dated without a notary; it lists no notarized attachment or sworn step.

How to submit this form

1
Download The Application
Download the death record application PDF.
2
Complete The Form
Provide the requested details about the deceased, yourself, the purpose of the request, and where the record should be sent.
3
Prepare The Fee
Include the stated $10 fee per copy or No Record Certification. Do not send cash or stamps.
4
Submit To The Local Registrar
Send the completed application and fee to the local registrar.

Frequently asked questions

What does the death record application request?: It requests copies of a death record or a No Record Certification. The form asks for information about the deceased, the applicant, the request’s purpose, and where to send the record.
Who can use this application?: A person seeking a death record copy or No Record Certification for a death occurring on or after January 1, 1988 can complete the application.
Do I need a notary for an Application to Local Registrar for Copy of Death Record?: No. This application is signed and dated without a notary, and it lists no notarized attachment or sworn step.
How do I submit the death record application?: Send the completed application to the local registrar with the stated $10 fee per copy or No Record Certification. Do not send cash or stamps.

Need something notarized?

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