Do I need a notary for the Death Certificate Application?

No. The application is signed and dated without a notary, and the form does not mention any notarized or sworn attachment.

How do I submit the Death Certificate Application?

Submit it to the Local Registrar named on the form. It lists a $10.00 fee per copy or No Record Certification and says not to send cash or stamps.

What information does the application request?

It asks for details about the deceased, the death record search, the applicant’s relationship and acting capacity, the purpose of the request, contact information, and requested copies.

St. Johnsville, NY · Montgomery County

No notary required

Death Certificate Application

This application is for people requesting a deceased person’s death record from the Local Registrar and asks for details about the deceased and the applicant.

What this form is

Use this application to request a death record or No Record Certification from the Local Registrar. It asks for the deceased person’s name, date of death or search period, identifying details, place of death, and the purpose for the request. Applicants provide their relationship to the deceased, acting capacity, contact information, requested copies, signature, and date.

Who needs it

Anyone requesting a death record or No Record Certification from the Local Registrar can use this application.

How to submit it

Submit it to the Local Registrar named on the form; the application lists a $10.00 fee per copy or No Record Certification and says not to send cash or stamps.

About notarization

This application is signed and dated without a notary; the form does not mention any notarized or sworn attachment.

How to submit this form

1
Download The Application
Download the Death Certificate Application PDF.
2
Complete The Application
Enter the deceased person’s information, search period, place of death, purpose, relationship, applicant details, and requested number of copies.
3
Sign And Date
Sign and date the application.
4
Submit To The Local Registrar
Submit it to the Local Registrar named on the form. Follow the form’s fee instructions and do not send cash or stamps.

Frequently asked questions

Do I need a notary for the Death Certificate Application?: No. The application is signed and dated without a notary, and the form does not mention any notarized or sworn attachment.
How do I submit the Death Certificate Application?: Submit it to the Local Registrar named on the form. It lists a $10.00 fee per copy or No Record Certification and says not to send cash or stamps.
What information does the application request?: It asks for details about the deceased, the death record search, the applicant’s relationship and acting capacity, the purpose of the request, contact information, and requested copies.

Need something notarized?

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