What records can I request with this application?

The application is for uncertified copies or abstracts of birth, death, and marriage records for genealogical research. It may also result in notification that no record was found.

Do I need a notary for the Genealogical Services Application?

No. Sign and date the application without a notary. If requesting birth and marriage records, also sign the statement that the people named are deceased.

How do I submit the Genealogical Services Application?

The form says requests must be submitted in writing with the applicable fee. It does not give a submission address or contact details.

What information does the application ask for?

It asks for the record type and details about the person or marriage, your purpose and relationship to the person, your capacity, signature, date, address, and where to send the record.

Theresa, NY · Jefferson County

No notary required

General Information and Application for Genealogical Services

This application lets a person request an uncertified birth, death, or marriage record copy or a notice that no record was found for genealogical research.

What this form is

Use this application to request an uncertified copy or abstract of a birth, death, or marriage record for genealogical research. It asks for the record type, identifying details, the applicant’s purpose and relationship to the person, and where to send the result. Requests must be submitted in writing with the applicable fee, and record availability depends on the rules summarized on the form.

Who needs it

Anyone requesting an uncertified birth, death, or marriage record copy for genealogical research can use this application.

How to submit it

Submit the request in writing with the applicable fee. The form lists a $22 fee for a search and uncertified copy or notification of no record; fees vary by the number of years searched.

About notarization

This document is signed and dated without a notary; applicants requesting birth and marriage records also sign the statement that the people named are deceased.

How to submit this form

1
Download the Application
Download the Genealogical Services Application PDF.
2
Complete the Application
Choose birth, death, or marriage and provide as much identifying information as possible, along with your purpose and relationship to the person.
3
Sign and Date
Sign and date the application. For birth and marriage requests, also sign the statement that the people named are deceased.
4
Submit the Written Request
Submit the request in writing with the applicable fee, as stated on the form.

Frequently asked questions

What records can I request with this application?: The application is for uncertified copies or abstracts of birth, death, and marriage records for genealogical research. It may also result in notification that no record was found.
Do I need a notary for the Genealogical Services Application?: No. Sign and date the application without a notary. If requesting birth and marriage records, also sign the statement that the people named are deceased.
How do I submit the Genealogical Services Application?: The form says requests must be submitted in writing with the applicable fee. It does not give a submission address or contact details.
What information does the application ask for?: It asks for the record type and details about the person or marriage, your purpose and relationship to the person, your capacity, signature, date, address, and where to send the record.

Need something notarized?

This General Information and Application for Genealogical Services doesn’t need a notary — but if you have another Theresa form that does, a commissioned online notary can help.