Avon, NY · Livingston County
Application to Local Registrar for Copy of Death Record
This application lets a person request a certified 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, the applicant’s relationship and purpose, and the number of copies requested; a fee of $10 per copy is listed. The application requires identification copies, and applicants who are not the deceased’s parent, child, or spouse at the time of death must submit documentation of a lawful right or claim.
Who needs it
Anyone requesting a death record copy or no-record certification from the local registrar should complete this application and provide the required identification.
How to submit it
Submit the application to the local registrar’s Vital Records Section with copies of the required identification. The form lists a $10 fee per certified copy or no-record certification.
About notarization
This application is signed and dated without a notary; include the required identification copies and, if applicable, documentation of a lawful right or claim.
How to submit this form
- 1
Download the Application
Download the death record copy application.
- 2
Complete the Application
Enter the deceased’s details, your contact information, purpose, relationship, and requested number of copies; then sign and date it.
- 3
Gather Required Documents
Include copies of one valid photo ID or two documents showing your name and address. Add lawful-right-or-claim documentation if required.
- 4
Submit to the Local Registrar
Submit the application and required identification copies to the local registrar’s Vital Records Section. The form lists a $10 fee per copy or certification.
Frequently asked questions
- Do I need a notary for the death record copy application?
- No. The application calls for the applicant’s signature and date, not notarization. Include the required identification copies and, if applicable, documentation of a lawful right or claim.
- How do I submit the death record application?
- Submit the completed application to the local registrar’s Vital Records Section with copies of the required identification. The form lists a $10 fee per certified copy or no-record certification.
- What identification must I provide?
- Provide a copy of one listed form of valid photo ID, or copies of two listed documents showing your name and address, such as utility bills or a recent government agency letter.
- Who must provide documentation of a lawful right or claim?
- Applicants who are not the deceased’s parent, child, or spouse at the time of death must submit documentation of a lawful right or claim.