Cambria, NY · Niagara County
Death Record Application
This application is for someone requesting a copy of a death record or a no-record certification from the local registrar.
What this form is
The application requests a copy of a death record or a no-record certification. It asks for information about the deceased, including name, date and place of death, and the applicant’s relationship to the deceased and purpose for the request. The stated fee is $10 per copy or no-record certification.
Who needs it
Anyone requesting a death record copy or no-record certification should complete the application with details about the deceased and the applicant.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details. The form states a fee of $10 per copy or no-record certification and says not to send cash or stamps.
About notarization
This document is signed without a notary; the applicant signs and dates the application.
How to submit this form
- 1
Download The Application
Download the Death Record Application.
- 2
Complete The Application
Enter the deceased’s details, the purpose of the request, your relationship to the deceased, and your applicant information.
- 3
Sign And Date
Sign and date the application. The form does not list any attachments.
- 4
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details. Do not send cash or stamps.
Frequently asked questions
- What does the Death Record Application request?
- It requests a copy of a death record or a no-record certification and asks for information about the deceased, the applicant, and the purpose of the request.
- Do I need a notary for the Death Record Application?
- No. This document is signed without a notary; the applicant signs and dates the application.
- How do I submit the Death Record Application?
- Submit it to the city department named on the form; check the city website for current contact details. The form says not to send cash or stamps.
- What fee does the application list?
- The form lists a fee of $10 per copy or no-record certification.
Need something notarized?
This Death Record Application doesn’t need a notary — but if you have another Cambria form that does, a commissioned online notary can help.