Do I need a notary for this death record application?

No. This application is signed and dated without a notary, and the document does not identify any attachment or related step that must be notarized or sworn.

Who may request a copy of a death record?

The document lists eligible requesters, 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 details about the deceased, the applicant’s relationship and capacity, the purpose of the request, the applicant’s signature and address, and the number of copies requested.

How do I submit the death record application?

Submit the application to the Local Registrar. The listed fee is $10 per copy or No Record Certification; do not send cash or stamps.

Canandaigua, NY · Ontario County

No notary required

Application for Copy of Death Record

This application lets an eligible person request a death record copy or No Record Certification from the Local Registrar.

What this form is

Use this application to request a copy of a death record or a No Record Certification. It asks for information about the deceased, the applicant’s relationship and capacity, the purpose of the request, and the number of copies requested. The document lists who may receive a copy, including certain relatives, lawful representatives, and people with documented legal or medical needs.

Who needs it

A person seeking a death record copy or No Record Certification who meets one of the document’s listed access categories should complete this application.

How to submit it

Submit the application to the Local Registrar. The fee is $10 per copy or No Record Certification; do not send cash or stamps.

About notarization

This application is signed and dated without a notary; the document does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

1
Download the Application
Download the Application for Copy of Death Record.
2
Complete the Application
Enter the requested information about the deceased, yourself, and the record you need.
3
Sign and Date
Sign and date the application.
4
Submit to the Local Registrar
Submit the application to the Local Registrar. The fee is $10 per copy or No Record Certification; do not send cash or stamps.

Frequently asked questions

Do I need a notary for this death record application?: No. This application is signed and dated without a notary, and the document does not identify any attachment or related step that must be notarized or sworn.
Who may request a copy of a death record?: The document lists eligible requesters, 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 details about the deceased, the applicant’s relationship and capacity, the purpose of the request, the applicant’s signature and address, and the number of copies requested.
How do I submit the death record application?: Submit the application to the Local Registrar. The listed fee is $10 per copy or No Record Certification; do not send cash or stamps.

Need something notarized?

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