What does this form request?

It asks the Jefferson County Clerk’s Office to retrieve and mail an original document that was submitted without a self-addressed, stamped envelope.

Who can submit this request?

A person who submitted an original document without a return envelope can use this form to request that the county clerk retrieve and mail it.

Do I need a notary for this request?

No. This request is signed and dated without a notary, and the form asks for no notarized attachment or sworn step.

How do I submit this request?

Send the completed form with a check payable to Jefferson County Clerk for $1 per document to the Jefferson County Clerk’s Office at 175 Arsenal Street, Watertown, NY 13601.

Jefferson County, NY · Jefferson County

No notary required

Request to Retrieve Unreturned Original Document

This form lets someone who submitted an original document without a return envelope ask the Jefferson County Clerk’s Office to retrieve and mail it.

At a glance

Issued by: City of Jefferson County · Jefferson County, Jefferson County, New York
Notarization: Not required: file this form without a notary.
Official source: jeffersoncountyny.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this request when an original document recorded at the Jefferson County Clerk’s Office was submitted without a self-addressed, stamped envelope. The form asks for the requester’s name, date, mailing address, telephone number, and a description of the document. It must be sent with a check payable to Jefferson County Clerk for $1 per document to cover postage and handling.

Who needs it

Anyone who submitted an original document without a self-addressed, stamped envelope and wants the county clerk to retrieve and mail it.

How to submit it

Send the completed form with a check payable to Jefferson County Clerk for $1 per document to Jefferson County Clerk’s Office, 175 Arsenal Street, Watertown, NY 13601.

About notarization

This request is signed and dated without a notary; the form asks for no notarized attachment or sworn step.

How to submit this form

1
Download the Form
Download the request form for an original document that was submitted without a self-addressed, stamped envelope.
2
Complete the Request
Enter your name, date, mailing address, telephone number, and a description of the document.
3
Prepare the Payment
Include a check payable to Jefferson County Clerk for $1 for each document requested.
4
Submit to the County Clerk
Send the form and check to Jefferson County Clerk’s Office, 175 Arsenal Street, Watertown, NY 13601.

Frequently asked questions

What does this form request?: It asks the Jefferson County Clerk’s Office to retrieve and mail an original document that was submitted without a self-addressed, stamped envelope.
Who can submit this request?: A person who submitted an original document without a return envelope can use this form to request that the county clerk retrieve and mail it.
Do I need a notary for this request?: No. This request is signed and dated without a notary, and the form asks for no notarized attachment or sworn step.
How do I submit this request?: Send the completed form with a check payable to Jefferson County Clerk for $1 per document to the Jefferson County Clerk’s Office at 175 Arsenal Street, Watertown, NY 13601.

Need something notarized?

This Request to Retrieve Unreturned Original Document doesn’t need a notary, but if you have another Jefferson County form that does, a commissioned online notary can help.