Vienna, NY · Oneida County
Application for Copy of Death Record
This application lets eligible people request a copy of a death record or a No Record Certification from the Local Registrar.
What this form is
Use this application to request copies of a death record or a No Record Certification. It asks for details about the deceased, the applicant’s relationship and capacity, the reason for the request, and the number of copies sought. The form lists people who may receive a copy, including certain relatives, lawful representatives, people with documented legal or medical needs, and government agencies requesting records for official purposes.
Who needs it
People seeking a death record copy or No Record Certification who meet one of the eligibility categories listed on the application need this form.
How to submit it
Submit the application to the Local Registrar. The form lists a fee of $10 per copy or No Record Certification and says not to send cash or stamps.
About notarization
This application is signed and dated without a notary; the form does not identify any notarized or sworn attachment.
How to submit this form
- 1
Download The Application
Download the death record copy application PDF.
- 2
Complete The Form
Enter the deceased’s details, your relationship and capacity, the purpose of the request, and your contact information.
- 3
Choose The Copy Type And Quantity
Indicate the number of copies requested with or without confidential cause of death.
- 4
Sign And Submit
Sign and date the application, then submit it to the Local Registrar. The form says not to send cash or stamps.
Frequently asked questions
- Do I need a notary for the death record copy application?
- No. The application asks the applicant to sign and date it, and it does not identify any notarized or sworn attachment.
- How do I submit the death record copy application?
- Submit the application to the Local Registrar. The form lists a fee of $10 per copy or No Record Certification and says not to send cash or stamps.
- Who may request a death record copy?
- The form lists eligible applicants, including certain relatives and their lawful representatives, people with a documented legal right or claim or medical need, and government agencies requesting records for official purposes.
- What information does the application ask for?
- It asks for information about the deceased, the applicant’s relationship and capacity, the purpose of the request, contact details, and the number of copies requested.
Need something notarized?
This Application for Copy of Death Record doesn’t need a notary — but if you have another Vienna form that does, a commissioned online notary can help.