Prattsville, NY · Greene County
Death Record Application
This application requests a copy of a death record or a no-record certification and is completed by the applicant seeking the record.
What this form is
The application to the local registrar requests a copy of a death record or a no-record certification. It asks for information about the deceased, including name, date and place of death, and the applicant’s relationship, purpose, contact details, and signature. The form lists a fee of $10.00 per copy and provides separate counts for copies with and without confidential cause of death.
Who needs it
An applicant seeking a death record copy or no-record certification completes this form with details about the deceased and their relationship to the deceased.
How to submit it
The form lists a fee of $10.00 per copy and says not to 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 application is signed and dated without a notary; no notarized attachment or related step is stated.
How to submit this form
- 1
Download The Application
Download the Death Record Application PDF.
- 2
Complete The Form
Enter the deceased’s details, the purpose for the request, your relationship and capacity, contact information, and signature and date.
- 3
Choose Copies
Specify the number of copies requested with and without confidential cause of death; the form lists a $10.00 fee per copy.
- 4
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Death Record Application request?
- It requests a copy of a death record or a no-record certification. The form asks for details about the deceased, the applicant, the purpose, and the number of copies requested.
- Do I need a notary for the Death Record Application?
- No. The application is signed and dated without a notary, and the form does not state that a notarized attachment or related step is required.
- How do I submit the Death Record Application?
- The form does not provide a submission address or method. Submit it to the city department named on the form; check the city website for current contact details. It lists a fee of $10.00 per copy and says not to send cash or stamps.
Need something notarized?
This Death Record Application doesn’t need a notary — but if you have another Prattsville form that does, a commissioned online notary can help.