Remsen, NY · Oneida County
Application for Copy of Death Record
This application requests a certified copy or no-record certification of a death record from the local registrar for a deceased person.
What this form is
Use this New York State Department of Health application to request a copy of a death record from the local registrar. It asks for details about the deceased and the applicant, the purpose and number of copies requested, and identification; applicants who are not the deceased’s parent, child, or spouse at the time of death must provide documentation of a lawful right or claim.
Who needs it
Anyone requesting a death record copy or no-record certification from the local registrar should complete this application and provide the required identification.
How to submit it
The form lists a per-copy fee of $30 for the county district and $10 for other districts. 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 form asks for identification copies and, when applicable, documentation of a lawful right or claim.
How to submit this form
- 1
Download The Application
Download the application for a copy of a death record.
- 2
Complete The Application
Enter the deceased’s details, your information, the purpose of the request, and the number of copies requested.
- 3
Gather Required Documents
Attach copies of the required identification and, if applicable, 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 death record application?
- No. The form calls for the applicant’s signature and date, not a notary. Include identification copies and, if applicable, documentation of a lawful right or claim.
- 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 lists a fee per certified copy or no-record certification.
- What identification must I provide?
- Include copies of either one listed form of valid photo ID or two listed documents showing your name and address. The form also notes a passport-copy requirement for certain requests from abroad.
- 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.
