Do I need a notary for the death record application?

No. The application is signed and dated without a notary, and the form does not identify any attachment or related step that must be notarized or sworn.

How do I submit the death record application?

Complete the form and enclose the fee payable to the Town of Kirkland. It lists Town of Kirkland, PO Box 235, Clinton, NY 13323, and also prints a Vital Records Section address in Albany.

What is the fee listed on the application?

The form lists a fee of $10.00 per copy or No Record Certification. It says not to send cash or stamps and names the Town of Kirkland as payee.

What information does the application request?

It asks for details about the deceased, the applicant's relationship and purpose for the request, the applicant's signature and date, and an address for sending records.

Kirkland, NY · Oneida County

No notary required

Application to Local Registrar for Copy of Death Record

This application lets a person request a death record copy or No Record Certification from the Town of Kirkland by providing details about the deceased and applicant.

What this form is

Use this application to request a copy of a death record or a No Record Certification; the form lists a fee of $10.00 per copy or certification. It asks for information about the deceased, including name, date and place of death, and information about the applicant, including their relationship to the deceased, purpose for the request, signature, and mailing address.

Who needs it

Anyone requesting a death record copy or No Record Certification from the Town of Kirkland can use this application.

How to submit it

Complete the form, enclose the fee payable to the Town of Kirkland, and do not send cash or stamps. The form lists Town of Kirkland, PO Box 235, Clinton, NY 13323, and also prints a Vital Records Section address in Albany.

About notarization

This application is signed and dated without a notary; the form does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

1
Download the Application
Download the Town of Kirkland application for a copy of a death record or No Record Certification.
2
Complete the Form
Provide the requested details about the deceased, your relationship and purpose, and your applicant and mailing information; sign and date the form.
3
Gather the Fee
Enclose the fee listed on the form, payable to the Town of Kirkland. Do not send cash or stamps.
4
Submit the Application
The form lists Town of Kirkland, PO Box 235, Clinton, NY 13323, and also prints a Vital Records Section address in Albany.

Frequently asked questions

Do I need a notary for the death record application?: No. The application is signed and dated without a notary, and the form does not identify any attachment or related step that must be notarized or sworn.
How do I submit the death record application?: Complete the form and enclose the fee payable to the Town of Kirkland. It lists Town of Kirkland, PO Box 235, Clinton, NY 13323, and also prints a Vital Records Section address in Albany.
What is the fee listed on the application?: The form lists a fee of $10.00 per copy or No Record Certification. It says not to send cash or stamps and names the Town of Kirkland as payee.
What information does the application request?: It asks for details about the deceased, the applicant's relationship and purpose for the request, the applicant's signature and date, and an address for sending records.

Need something notarized?

This Application to Local Registrar for Copy of Death Record doesn’t need a notary — but if you have another Kirkland form that does, a commissioned online notary can help.