Do I need a notary for the death record application?

No. The application calls for the applicant's signature and date, not notarization. Include the required identification and, when applicable, documentation of a lawful right or claim.

What identification must accompany the application?

Include a copy of one listed form of valid photo identification, or copies of two listed documents showing your name and address.

Who must provide documentation of a lawful right or claim?

Applicants who are not the deceased's parent, child, or spouse at the time of death must submit documentation of a lawful right or claim.

Brownville, NY · Jefferson County

No notary required

Application to Local Registrar for Copy of Death Record

This application lets a person request a copy of a deceased person’s death record from a local registrar.

What this form is

Use this application to request a copy of a deceased person's death record from a local registrar. It asks for identifying details about the deceased, the applicant's relationship and purpose, the number and type of copies requested, and applicant contact information. Applicants must include specified photo identification or address documents; some applicants must also provide documentation of a lawful right or claim.

Who needs it

A person requesting a death record copy who can provide required identification and, when applicable, proof of a lawful right or claim.

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 application is signed and dated without a notary; attach required identification and, when applicable, documentation of a lawful right or claim.

How to submit this form

1
Download The Application
Download the death record copy application.
2
Complete The Application
Enter the deceased's details, your relationship and purpose, requested copy information, and your contact details.
3
Gather Required Documents
Include the required photo identification or two documents showing your name and address. Add proof of a lawful right or claim when applicable.
4
Submit To The City
Submit the application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the death record application?: No. The application calls for the applicant's signature and date, not notarization. Include the required identification and, when applicable, documentation of a lawful right or claim.
How do I submit the death record application?: Submit it to the city department named on the form; check the city website for current contact details.
What identification must accompany the application?: Include a copy of one listed form of valid photo identification, or copies of two listed documents showing your name and address.
Who must provide documentation of a lawful right or claim?: Applicants who are not the deceased's parent, child, or spouse at the time of death must submit documentation of a lawful right or claim.

Need something notarized?

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