Do I need a notary for the State Death Record Request?

No. This application is signed and dated without a notary. Attach copies of the required identification and, when applicable, documentation of a lawful right or claim.

How do I submit the State Death Record Request?

The form is addressed to the local registrar. Submit it to the city department named on the form, and check the city website for current contact details.

What identification must I include?

Include a copy of one listed valid photo ID, or copies of two listed documents showing your name and address. The form also requires a copy of a passport for requests from certain foreign countries.

Who must provide proof of a lawful right or claim?

Applicants who are not the deceased's parent, child, or spouse at the time of death must submit documentation of a lawful right or claim.

Remsen, NY · Oneida County

No notary required

State Death Record Request

This application lets a person request a certified death record copy or no-record certification from the local registrar.

What this form is

Use this New York State Department of Health application to ask the local registrar for a certified death record copy or a no-record certification. It requests details about the deceased, the applicant’s relationship and purpose, the record sought, and the number of copies. Applicants must include specified photo identification or two qualifying documents; people outside the listed immediate-family relationships must provide documentation of a lawful right or claim.

Who needs it

A person requesting a certified death-record copy or no-record certification should complete this application and provide the required identification.

How to submit it

The form is addressed to the local registrar. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed and dated without a notary; the signer attaches identification copies and, when required, documentation of a lawful right or claim.

How to submit this form

1
Download the Application
Download the State Death Record Request PDF.
2
Complete the Application
Enter details about the deceased, the record requested, your relationship, and the purpose for the record.
3
Gather Required Attachments
Copy the required identification. If you are not a listed immediate family member, include documentation of a lawful right or claim.
4
Submit to the Local Registrar
Submit the application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the State Death Record Request?: No. This application is signed and dated without a notary. Attach copies of the required identification and, when applicable, documentation of a lawful right or claim.
How do I submit the State Death Record Request?: The form is addressed to the local registrar. Submit it to the city department named on the form, and check the city website for current contact details.
What identification must I include?: Include a copy of one listed valid photo ID, or copies of two listed documents showing your name and address. The form also requires a copy of a passport for requests from certain foreign countries.
Who must provide proof of a lawful right or claim?: Applicants who are not the deceased's parent, child, or spouse at the time of death must submit documentation of a lawful right or claim.

Need something notarized?

This State Death Record Request doesn’t need a notary — but if you have another Remsen form that does, a commissioned online notary can help.