What is the Application for Copy of Death Certificate?

It is an application to a local registrar for a copy of a death record or a No Record Certification.

What information does the application ask for?

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

Do I need a notary for the Application for Copy of Death Certificate?

No. The applicant signs and dates this application; it does not include a notary requirement.

How do I submit the Application for Copy of Death Certificate?

Submit it to the city department named on the form; check the city website for current contact details. The form says to enclose the fee and not send cash or stamps.

Lake Pleasant, NY · Hamilton County

No notary required

Application for Copy of Death Certificate

This application is for people requesting a copy of a death record from a local registrar in New York.

What this form is

Use this application to request a copy of a death record or a No Record Certification. 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 $10.00 per copy or certification and asks applicants to enclose the fee without sending cash or stamps.

Who needs it

Anyone requesting a copy of a death record or a No Record Certification from a local registrar can complete this application.

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 without a notary; the applicant just signs and dates the application.

How to submit this form

1
Download the Application
Download the Application for Copy of Death Certificate PDF.
2
Complete the Application
Print or type the requested information about the deceased, yourself, and where the record should be sent.
3
Enclose the Fee
Enclose $10.00 per copy or No Record Certification. Do not send cash or stamps.
4
Submit the Application
Submit the application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Application for Copy of Death Certificate?: It is an application to a local registrar for a copy of a death record or a No Record Certification.
What information does the application ask for?: It asks for details about the deceased, the applicant’s relationship and purpose, and the name and address where the record should be sent.
Do I need a notary for the Application for Copy of Death Certificate?: No. The applicant signs and dates this application; it does not include a notary requirement.
How do I submit the Application for Copy of Death Certificate?: Submit it to the city department named on the form; check the city website for current contact details. The form says to enclose the fee and not send cash or stamps.

Need something notarized?

This Application for Copy of Death Certificate doesn’t need a notary — but if you have another Lake Pleasant form that does, a commissioned online notary can help.