Do I need a notary for the death record application?

No. This application is signed without a notary; the applicant just signs and dates it.

How do I submit the death record application?

Complete the application, enclose the fee, and submit it to the local registrar. Do not send cash or stamps.

What is the fee listed on the application?

The form lists a $10 fee per copy or no-record certification. It says not to send cash or stamps.

What information does the application request?

It asks for details about the deceased, the applicant’s relationship and purpose, and the address where the record should be sent.

West Turin, NY · Lewis County

No notary required

Application for a Copy of a Death Record

Use this application to request a copy of a New York death record or a no-record certification from the local registrar.

What this form is

This application requests a copy of a death record or a no-record certification. It asks for information about the deceased, the applicant’s relationship and purpose, and where the record should be sent. For deaths occurring as of January 1, 1988, it also asks how many copies should include or exclude the confidential cause of death.

Who needs it

Anyone requesting a copy of a death record or a no-record certification should complete this application for the local registrar.

How to submit it

Complete the form and enclose the $10 fee per copy or no-record certification; do not send cash or stamps. The form is addressed to the local registrar.

About notarization

This document is signed without a notary; the applicant just signs and dates the application.

How to submit this form

1
Download The Application
Download the death record copy application PDF.
2
Complete The Form
Print or type the deceased’s details, your relationship and purpose, and the requested mailing address.
3
Gather The Fee
Enclose the $10 fee per copy or no-record certification. Do not send cash or stamps.
4
Submit To The Local Registrar
Send the completed application and fee to the local registrar.

Frequently asked questions

Do I need a notary for the death record application?: No. This application is signed without a notary; the applicant just signs and dates it.
How do I submit the death record application?: Complete the application, enclose the fee, and submit it to the local registrar. Do not send cash or stamps.
What is the fee listed on the application?: The form lists a $10 fee per copy or no-record certification. It says not to send cash or stamps.
What information does the application request?: It asks for details about the deceased, the applicant’s relationship and purpose, and the address where the record should be sent.

Need something notarized?

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