Vernon, NY · Oneida County
Mail-In Application for Genealogical Services
This application lets people request birth, death, or marriage records for genealogy research from the New York State Department of Health.
What this form is
Use this application only for genealogy requests; the form states that vital records copies cannot be provided for commercial purposes. It asks for the record type, identifying details, the applicant’s relationship and purpose, and where to send the response. The instructions explain record eligibility periods and require a signed application, payment, and copies of any required documentation.
Who needs it
People seeking eligible birth, death, or marriage records for genealogy research can use this application to request a search and an uncertified copy or no-record notification.
How to submit it
Mail the signed application, check or money order payable to the New York State Department of Health, and copies of any required documentation to the Certification Unit, Vital Records Section, New York State Department of Health, P.O. Box 2602, Albany, NY 12220-2602.
About notarization
This application is signed and dated without a notary; applicants requesting birth and marriage records also sign the statement that the named people are deceased.
How to submit this form
- 1
Download The Application
Download the Mail-In Application for Genealogical Services PDF.
- 2
Complete The Form
Fill in the requested record type, identifying details, purpose, relationship, and mailing information.
- 3
Gather Required Items
Include a check or money order payable to the New York State Department of Health and copies of any required documentation.
- 4
Sign And Mail
Sign and date the application, then mail it with the required items to the address listed in the instructions.
Frequently asked questions
- Do I need a notary for the Genealogical Services Application?
- No. Sign and date the application; birth and marriage requests also require signing the statement that the named people are deceased.
- How do I submit the Genealogical Services Application?
- Mail the signed application, payment by check or money order, and copies of required documentation to the Certification Unit, Vital Records Section, New York State Department of Health, P.O. Box 2602, Albany, NY 12220-2602.
- What records can I request with this application?
- The form accepts genealogy requests for birth, death, or marriage records. It requests identifying details about the record and the applicant’s purpose and relationship to the person.