Castorland, NY · Lewis County
Application for Copy of Death Record
This application is for people requesting a copy of a death record or a no-record certification from the local registrar.
What this form is
Use this application to request a copy of a death record or a no-record certification. It asks for details about the deceased and the death, the applicant’s address, purpose and relationship to the deceased, and the number of copies requested. The form states a fee of $10 per copy or no-record certification and says 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 should complete this application and provide the requested information.
How to submit it
The form says to complete it and enclose the fee; do not send cash or stamps. Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application does not require notarization; the applicant signs and dates it, and the form lists no sworn or notarized attachment.
How to submit this form
- 1
Download The Application
Download the death record copy application PDF.
- 2
Complete The Form
Print or type the requested details about the deceased, the death, and yourself.
- 3
Enclose The Fee
Enclose the fee listed on the form; do not send cash or stamps.
- 4
Submit The Application
Submit it 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 copy application?
- No. The applicant signs and dates this application; it lists no sworn or notarized attachment.
- How do I submit the death record copy application?
- Complete the form and enclose the fee. Do not send cash or stamps. Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application ask for?
- It asks for details about the deceased and the death, your address, purpose and relationship to the deceased, and the number of copies requested.
- What fee does the form list?
- The form lists a fee of $10 per copy or no-record certification and says not to send cash or stamps.
