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

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

How do I submit the death record copy application?

Complete the application, enclose the stated fee, and submit it to the local registrar. The form says not to send cash or stamps.

What information does the application ask for?

It asks for details about the deceased, the applicant’s relationship and purpose, the applicant’s contact information, and the address where the record should be sent.

What fee does the form state?

The form states $10 per copy or No Record Certification and says not to send cash or stamps.

Broadalbin, NY · Fulton County

No notary required

Application to Local Registrar for Copy of Death Record

This application lets a person request a copy of a death record from the local registrar and specify how many copies are needed.

What this form is

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

Who needs it

A person requesting a death record copy or No Record Certification from the local registrar should complete this application.

How to submit it

Complete the application and enclose the stated fee; do not send cash or stamps. Submit it to the local registrar; check the city website for current contact details.

About notarization

This application is signed without a notary; the applicant just signs and dates it.

How to submit this form

1
Download The Application
Download the death record copy application.
2
Complete The Form
Print or type the deceased’s details, your relationship and purpose, and the requested mailing information.
3
Prepare The Fee
Enclose the stated fee. Do not send cash or stamps.
4
Submit To The Local Registrar
Submit the completed application and fee to the local registrar; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the death record copy application?: No. This application has a signature and date line but no notary block; the applicant just signs and dates it.
How do I submit the death record copy application?: Complete the application, enclose the stated fee, and submit it to the local registrar. The form says not to send cash or stamps.
What information does the application ask for?: It asks for details about the deceased, the applicant’s relationship and purpose, the applicant’s contact information, and the address where the record should be sent.
What fee does the form state?: The form states $10 per copy or No Record Certification and says not to 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 Broadalbin form that does, a commissioned online notary can help.