Augusta, NY · Oneida County
Application for Death Record
This application lets a person request a copy of a death record or a no-record certification from the local registrar.
What this form is
Use this application to request 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 details about the applicant’s relationship to the deceased and purpose for the request. The form lists a $10 fee per copy and asks how many copies should include the confidential cause of death.
Who needs it
Anyone requesting a death record copy or no-record certification can use the application to provide information about the deceased and themselves.
How to submit it
The form lists a $10 fee per copy and says not to send cash or stamps. Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; the signer just signs and dates the application.
How to submit this form
- 1
Download The Application
Download the Application for Death Record PDF.
- 2
Complete The Form
Print or type the deceased’s information, your relationship and purpose, and your applicant details.
- 3
Choose Copy Options
Indicate the number of copies requested with and without the confidential cause of death.
- 4
Sign And Submit
Sign and date the application, then submit it to the city department named on the form.
Frequently asked questions
- What does the Application for Death Record request?
- It requests a copy of a death record or a no-record certification. The form asks for details about the deceased, the applicant, and the purpose of the request.
- Do I need a notary for the Application for Death Record?
- No. This application is signed and dated without a notary; the signer just signs and dates it.
- How do I submit the Application for Death Record?
- The form lists a $10 fee per copy and says not to send cash or stamps. Submit it to the city department named on the form; check the city website for current contact details.