Sparta, NY · Livingston County
Application for Copy of Death Record
This application lets a person request a certified copy of a death record from the local registrar and provide identification and details about the deceased.
What this form is
Use this application to request a copy of a death record from the local registrar. It asks for information about the deceased, the applicant’s relationship to them, the purpose of the request, and the number and type of copies requested. The form requires a copy of identification; it lists a $10 fee per certified copy for other districts.
Who needs it
A person requesting a death record copy should complete this application and provide the required identification.
How to submit it
Submit the application to the local registrar with a copy of the required identification. The form lists a $10 fee per certified copy for other districts.
About notarization
This document is signed and dated by the applicant without a notary; the form asks the signer to attach a copy of identification.
How to submit this form
- 1
Download The Application
Download the death record copy application PDF.
- 2
Complete The Form
Enter the deceased’s details, your relationship and purpose, the requested copies, and your applicant information.
- 3
Gather Identification
Make a copy of either one listed valid photo ID or two listed documents showing your name and address.
- 4
Submit To The Local Registrar
Submit the completed application and ID copy to the local registrar; the form lists a $10 fee per certified copy for other districts.
Frequently asked questions
- Do I need a notary for the death record copy application?
- No. The applicant signs the form without a notary and attaches a copy of identification.
- How do I submit the death record copy application?
- Submit the application to the local registrar with a copy of the required identification. The form lists a $10 fee per certified copy for other districts.
- What information does the application request?
- It asks for details about the deceased, the applicant’s relationship and purpose, the number and type of copies requested, and the applicant’s contact information.
- What identification must I include?
- Include a copy of either one listed valid photo ID or two listed documents showing your name and address.