Mount Morris, NY · Livingston County
Application for Copy of Death Record
This application lets a person request a copy of a deceased person’s death record 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, including name, date and place of death, and parental information, along with the applicant’s relationship, purpose, contact details, and requested copies. The form lists a $10 fee per copy or certification and says not to send cash or stamps.
Who needs it
A person seeking a copy of a death record or No Record Certification completes the application with information about the deceased and their relationship to the deceased.
How to submit it
Submit the application to the Local Registrar. The form lists a $10 fee per copy or No Record Certification and says not to send cash or stamps.
About notarization
This application is signed without a notary; it contains no sworn or notarized attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Application for Copy of Death Record PDF.
- 2
Complete The Form
Enter the deceased’s details, your relationship and purpose, your contact information, and the number of copies requested.
- 3
Prepare The Fee
The form lists a $10 fee per copy or No Record Certification. Do not send cash or stamps.
- 4
Submit To The Local Registrar
Sign and date the application, then submit it to the Local Registrar.
Frequently asked questions
- What does the death record application request?
- It requests information about the deceased, the applicant’s relationship and purpose, applicant contact details, and the number of copies requested.
- Do I need a notary for the Application for Copy of Death Record?
- No. This application is signed and dated without a notary, and it does not identify any sworn or notarized attachment.
- How do I submit the death record application?
- Submit it to the Local Registrar. The form lists a $10 fee per copy or No Record Certification and says not to send cash or stamps.