Westville, NY · Franklin County
Death Record Request Form
This application requests a copy of a death record from the local registrar and is completed by someone seeking the record.
At a glance
- Issued by
- City of Westville · Westville, Franklin County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- townofwestvilleny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application asks the local registrar for a copy of a death record or a no-record certification. It requests information about the deceased, the applicant’s relationship and purpose, the applicant’s signature and address, and where to send the record. The form says to enclose $10 per copy or no-record certification and not to send cash or stamps.
Who needs it
Anyone requesting a death record copy or no-record certification completes this form with information about the deceased and the applicant.
How to submit it
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; the signer just signs and dates the application.
How to submit this form
- 1
Download the Form
Download the Death Record Request Form PDF.
- 2
Complete the Application
Print or type the requested details about the deceased, your relationship and purpose, and your contact information.
- 3
Include the Fee
Enclose $10 per copy or no-record certification. The form says not to send cash or stamps.
- 4
Submit to the City
Submit the completed application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Death Record Request Form request?
- It asks the local registrar for a copy of a death record or a no-record certification. The form requests details about the deceased, the applicant, the purpose, and where to send the record.
- Do I need a notary for the Death Record Request Form?
- No. This application is signed and dated without a notary; the signer just signs and dates the form.
- How do I submit the Death Record Request Form?
- Submit it to the city department named on the form; check the city website for current contact details. The form says to enclose $10 per copy or no-record certification and not to send cash or stamps.
- What information does the application ask for?
- It asks for the deceased’s name and identifying details, date and place of death, the applicant’s relationship and purpose, and the applicant’s signature and address.