Remsen, NY · Oneida County

No notary required

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. 1

    Download The Application

    Download the application for a copy of a death record.

  2. 2

    Complete The Application

    Enter the deceased’s details, your information, the purpose of the request, and the number of copies requested.

  3. 3

    Gather Required Documents

    Attach copies of the required identification and, if applicable, documentation of a lawful right or claim.

  4. 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.

Need something notarized?

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