Do I need a notary for the death record copy application?

No. The application has a signature and date line but no notary block or notarized attachment requirement; the signer just signs and dates it.

How do I submit the death record application?

Send it to the Town Clerk at 4630 Millennium Drive, Geneseo, NY 14454. Include copies of the required identification and make checks payable to Town of Geneseo.

What identification must I include?

Include copies of either one listed form of valid photo ID or two listed documents showing your name and address. The form also notes a passport requirement for certain requests from foreign countries.

Who needs to provide proof 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.

Geneseo, NY · Livingston County

No notary required

Application to Local Registrar for Copy of Death Record

This application lets eligible people request a certified copy of a death record or a no-record certification from the Town of Geneseo Local Registrar.

At a glance

Issued by: City of Geneseo · Geneseo, Livingston County, New York
Notarization: Not required: file this form without a notary.
Official source: geneseony.org
Blank form: Download the PDF
Catalogued: Sep 28, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this application to request a certified copy of a death record or a no-record certification from the Town of Geneseo Local Registrar. It asks for details about the deceased, the applicant’s relationship and purpose, and the number of copies requested. Applicants must include copies of the specified identification; people who are not the deceased’s parent, child, or spouse at the time of death must also submit documentation of a lawful right or claim.

Who needs it

Anyone requesting a death record copy or no-record certification from the Town of Geneseo Local Registrar must complete this application and provide the required identification.

How to submit it

Submit the application to the Town Clerk, 4630 Millennium Drive, Geneseo, NY 14454, with copies of the required identification. Make checks payable to Town of Geneseo; the form lists a fee of $30 for Monroe County and $10 for other districts per certified copy or no-record certification.

About notarization

This application is signed and dated without a notary; it does not specify a notarized attachment or sworn step.

How to submit this form

1
Download The Application
Download the death record copy application PDF.
2
Complete The Application
Provide the deceased’s details, your relationship and purpose, and the number of copies requested.
3
Gather Identification
Attach copies of either one listed valid photo ID or two listed documents showing your name and address.
4
Submit To The Town Clerk
Send the application and attachments to the Town Clerk at 4630 Millennium Drive, Geneseo, NY 14454; make checks payable to Town of Geneseo.

Frequently asked questions

Do I need a notary for the death record copy application?: No. The application has a signature and date line but no notary block or notarized attachment requirement; the signer just signs and dates it.
How do I submit the death record application?: Send it to the Town Clerk at 4630 Millennium Drive, Geneseo, NY 14454. Include copies of the required identification and make checks payable to Town of Geneseo.
What identification must I include?: Include copies of either one listed form of valid photo ID or two listed documents showing your name and address. The form also notes a passport requirement for certain requests from foreign countries.
Who needs to provide proof 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.

Need something notarized?

This Application to Local Registrar for Copy of Death Record doesn’t need a notary, but if you have another Geneseo form that does, a commissioned online notary can help.