What does the Springwater Death Certificate Application request?

It requests information about the deceased and applicant, the purpose and relationship, and the number of copies requested with or without the confidential cause of death.

Do I need a notary for the Springwater Death Certificate Application?

No. The application is signed and dated without a notary, and it identifies no notarized or sworn attachment.

How do I submit the Springwater Death Certificate Application?

Complete the form, enclose the fee listed on it, and make payment to Springwater Town Clerk. The form lists 8022 South Main Street and says not to send cash or stamps.

Springwater, NY · Livingston County

No notary required

Death Certificate Application

Springwater applicants use this application to request a copy of a death record or a no-record certification from the Town Clerk.

What this form is

Use this application to request a copy of a death record or a no-record certification from the Springwater Town Clerk. The form asks for information about the deceased, the applicant’s relationship and purpose, and the number of copies requested with or without the confidential cause of death. It instructs applicants to complete the form and enclose the stated fee.

Who needs it

A person requesting a death record copy or no-record certification from the Springwater Town Clerk needs this application.

How to submit it

Complete the form, enclose the fee listed on it, and make payment to Springwater Town Clerk; do not send cash or stamps. The form lists 8022 South Main Street.

About notarization

This application is signed and dated without a notary; it identifies no notarized or sworn attachment, so the applicant just signs and dates it.

How to submit this form

1
Download The Application
Download the Springwater Death Certificate Application PDF.
2
Complete The Form
Print or type the requested information about the deceased, yourself, and the record request.
3
Prepare The Fee
Enclose the fee listed on the form and make payment to Springwater Town Clerk; do not send cash or stamps.
4
Submit The Application
Send the completed form and fee to the Town Clerk at the address listed on the form.

Frequently asked questions

What does the Springwater Death Certificate Application request?: It requests information about the deceased and applicant, the purpose and relationship, and the number of copies requested with or without the confidential cause of death.
Do I need a notary for the Springwater Death Certificate Application?: No. The application is signed and dated without a notary, and it identifies no notarized or sworn attachment.
How do I submit the Springwater Death Certificate Application?: Complete the form, enclose the fee listed on it, and make payment to Springwater Town Clerk. The form lists 8022 South Main Street and says not to send cash or stamps.

Need something notarized?

This Death Certificate Application doesn’t need a notary — but if you have another Springwater form that does, a commissioned online notary can help.