North Dansville, NY · Livingston County
Genealogical Request Form
This application requests an uncertified birth, death, or marriage record for genealogical research and is completed by the person seeking the record.
What this form is
Use this application to request an uncertified birth, death, or marriage record for genealogical research. It asks for details about the record and the applicant, including the applicant’s relationship to the person named. The form says requests must be submitted in writing with payment; extra documentation is needed to request certain waiting-period waivers.
Who needs it
Anyone requesting an uncertified birth, death, or marriage record for genealogical research can complete this application.
How to submit it
Mail the completed application to the New York State Department of Health, Vital Records Section, Genealogy Unit, P.O. Box 2602, Albany, New York 12220-2602. Include payment; the fee varies with the number of years searched.
About notarization
This document is signed without a notary; the applicant signs and dates the form and signs an additional statement when requesting birth or marriage records.
How to submit this form
- 1
Download The Form
Download the Genealogical Request Form PDF.
- 2
Complete The Application
Select the record type and provide as much information as possible, along with your purpose and relationship to the person named.
- 3
Gather Required Documentation
If requesting a waiting-period waiver as a descendant or on a descendant’s behalf, include the documentation specified in the instructions.
- 4
Sign And Date
Sign and date the application. For birth or marriage record requests, also sign the statement that the person or persons named are deceased.
- 5
Mail The Application
Include payment and mail the application to the Genealogy Unit at the address printed on the form.
Frequently asked questions
- What records can I request with the Genealogical Request Form?
- The application is for uncertified birth, death, or marriage records for genealogical research. It asks for information about the person and record being requested.
- Do I need a notary for the Genealogical Request Form?
- No. The applicant signs and dates the form without a notary. Birth and marriage record requests also require the applicant to sign the statement that the named person or persons are deceased.
- How do I submit the Genealogical Request Form?
- Mail the completed application and payment to the New York State Department of Health, Vital Records Section, Genealogy Unit, P.O. Box 2602, Albany, New York 12220-2602.
- What information does the application ask for?
- It asks for record details such as names, dates, and places, as well as the applicant’s purpose, relationship to the person, capacity, signature, and address.
Need something notarized?
This Genealogical Request Form doesn’t need a notary — but if you have another North Dansville form that does, a commissioned online notary can help.