Brownville, NY · Jefferson County
Genealogical Services Application
This application lets people request uncertified birth, death, or marriage records for genealogical research from the New York State Department of Health.
What this form is
Use this application to request an uncertified copy or notification that no record was found for genealogical research. Complete the section for each requested record type and provide as much information as possible, including names, dates, places, and family details. The form also asks your purpose, relationship to the person, and capacity; birth and marriage requests require a statement that the people named are deceased, to the best of your knowledge.
Who needs it
People requesting birth, death, or marriage records for genealogical research from the New York State Department of Health should complete this application.
How to submit it
Submit the written application with payment to the Vital Records Section, Genealogy Unit, P.O. Box 2602, Albany, New York 12220-2602. The form lists fees based on the number of years searched.
About notarization
This application is signed without a notary; for birth and marriage requests, the signer also signs a statement that the named people are deceased, to the best of their knowledge.
How to submit this form
- 1
Download The Application
Download the Genealogical Services Application PDF.
- 2
Complete The Applicable Section
Fill in the birth, death, or marriage section and provide as much information as possible.
- 3
Add Required Statement
For birth and marriage requests, sign the statement that the named people are deceased, to the best of your knowledge.
- 4
Submit The Application
Send the written application with payment to the Vital Records Section, Genealogy Unit, at the address on the form.
Frequently asked questions
- Do I need a notary for the Genealogical Services Application?
- No. Sign and date the application without a notary. For birth and marriage requests, you must also sign the statement about the named people being deceased.
- How do I submit the Genealogical Services Application?
- Submit the written application with payment to the Vital Records Section, Genealogy Unit, P.O. Box 2602, Albany, New York 12220-2602.
- What records can I request?
- The application has sections for birth, death, and marriage records. Requests are for genealogical research and are for uncertified copies or notification of no record.
- What information should I include?
- Complete the applicable record section and provide as much information as possible, such as names, dates, places, and family details. The form also asks your purpose and relationship to the person.