Avon, NY · Livingston County
Application for Copy of Death Certificate
This application lets a person request a copy of a death record from the local registrar by providing details about the deceased and the applicant.
What this form is
This application is used to request a copy of a death record from the local registrar. It asks for details about the deceased, including name, date and place of death, parent names, and Social Security number, along with the applicant’s relationship, purpose, contact information, signature, date, and requested number of copies with or without confidential cause of death.
Who needs it
Anyone applying for a copy of a death record needs to provide the requested information about the deceased and their relationship to the deceased.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; the form does not identify any related sworn or notarized attachment.
How to submit this form
- 1
Download The Application
Download the death certificate application PDF.
- 2
Complete The Application
Provide the requested details about the deceased, your relationship and purpose, your contact information, and the number of copies requested.
- 3
Sign And Date
Sign and date the application.
- 4
Submit To The City
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 certificate application?
- No. This application is signed and dated without a notary; the form does not identify any related sworn or notarized attachment.
- How do I submit the death certificate application?
- 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 information about the deceased, the applicant’s relationship and purpose, applicant contact details, a signature and date, and the number of copies requested.
Need something notarized?
This Application for Copy of Death Certificate doesn’t need a notary — but if you have another Avon form that does, a commissioned online notary can help.