Livonia, NY · Livingston County

No notary required

Application to Local Registrar for Copy of Death Record

This application lets a person request a 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 from the local registrar. It asks for information about the deceased, including name, place and date of death, and for the applicant’s relationship, purpose, contact information, signature, and date. The form says to enclose a fee of $10.00 per copy or no-record certification.

Who needs it

Anyone requesting a copy of a death record or a no-record certification from the local registrar can use this application.

How to submit it

Complete the form and enclose the fee stated on it. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

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

How to submit this form

  1. 1

    Download The Application

    Download the application to request a death record copy or no-record certification.

  2. 2

    Complete The Application

    Print or type the requested information about the deceased and the applicant.

  3. 3

    Gather The Fee

    Enclose the listed fee of $10.00 per copy or no-record certification. Do not send cash or stamps.

  4. 4

    Submit To The Local Registrar

    Submit the completed application and fee to the local registrar; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the death record copy application?
No. The application has a signature and date field but no notary block; the applicant just signs and dates it.
How do I submit the death record copy application?
Complete the application and enclose the fee stated on the form. Submit it to the local registrar; check the city website for current contact details.
What information does the application ask for?
It asks for details about the deceased, including name, place and date of death, and for the applicant’s relationship, purpose, contact information, signature, and date.
What fee does the form list?
The form lists a fee of $10.00 per copy or no-record certification and says not to send cash or stamps.

Need something notarized?

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