Geneseo, NY · Livingston County
Application to Local Registrar for Copy of Death Record
This application is for people requesting a certified copy or no-record certification of a death record from the Town of Geneseo local registrar.
What this form is
Use this application to request a 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 and type of copies requested. Applicants must include the required identification copies; those 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 needs to complete this application.
How to submit it
Submit the application to the Town Clerk, 4630 Millennium Drive, Geneseo, NY 14454, with the required identification copies. Make checks payable to the Town of Geneseo; the form lists fees 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; attach required identification copies and, when applicable, documentation of a lawful right or claim.
How to submit this form
- 1
Download The Application
Download the Town of Geneseo application for a copy of a death record.
- 2
Complete The Application
Provide details about the deceased, your relationship and purpose, the requested copies, and your applicant information.
- 3
Gather Required Attachments
Attach copies of the required identification and, if applicable, documentation of a lawful right or claim.
- 4
Submit To The Town Clerk
Send the application and attachments to the Town Clerk at the address on the form, with a check payable to the 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. Include identification copies and, if applicable, documentation of a lawful right or claim.
- How do I submit the death record copy application?
- Send it to the Town Clerk, 4630 Millennium Drive, Geneseo, NY 14454, with the required identification copies. Make checks payable to the Town of Geneseo.
- What identification must I include?
- Include copies of one listed form of valid photo ID, or two listed documents showing your name and address. The form lists examples for each option.
- What information does the application ask for?
- It asks for information about the deceased, the applicant’s relationship and purpose, the requested number and type of copies, and applicant contact and identification details.
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.