How do I submit the death record copy application?

Submit it to the Local Registrar, Vital Records Section. The form says not to send cash or stamps.

What does the application ask for?

It asks for details about the deceased, the applicant’s relationship and purpose, and the number of copies requested, with or without the confidential cause of death.

What fee does the form list?

The form lists a fee of $10 per copy or no-record certification and says not to send cash or stamps.

Gorham, NY · Ontario County

No notary required

Application for Copy of Death Record

This application is for people requesting 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 information about the deceased, including name, date of death, parents, and place of death, as well as the applicant’s relationship and purpose for requesting the record. The form lists a fee of $10 per copy and asks how many copies are requested, with or without the confidential cause of death.

Who needs it

Anyone requesting a copy of a death record or no-record certification should complete this application with details about the deceased and the applicant.

How to submit it

Submit the application to the Local Registrar, Vital Records Section. The form lists a $10 fee per copy and says not to send cash or stamps.

About notarization

This document is signed and dated without a notary; it mentions no notarized or sworn attachment, so the applicant just signs and dates it.

How to submit this form

1
Download The Application
Download the death record copy application PDF.
2
Complete The Application
Provide the requested information about the deceased, your relationship and purpose, and the number of copies requested.
3
Sign And Date
Sign and date the application.
4
Submit To The Registrar
Submit it to the Local Registrar, Vital Records Section. Do not send cash or stamps.

Frequently asked questions

Do I need a notary for the death record copy application?: No. This application is signed and dated without a notary. It mentions no notarized or sworn attachment.
How do I submit the death record copy application?: Submit it to the Local Registrar, Vital Records Section. The form says not to send cash or stamps.
What does the application ask for?: It asks for details about the deceased, the applicant’s relationship and purpose, and the number of copies requested, with or without the confidential cause of death.
What fee does the form list?: The form lists a fee of $10 per copy or no-record certification and says not to send cash or stamps.

Need something notarized?

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