Manchester, NY · Ontario County
Death Certificate Application
This application lets a person request a copy of a death record from a local registrar and provide identification and eligibility details.
What this form is
Use this application to request a certified copy of a death record or a no-record certification from a local registrar. It asks for information about the deceased, the applicant’s relationship and purpose, and the number of copies requested. Applicants must include copies of the required identification, and those who are not a parent, child, or spouse at the time of death must provide documentation of a lawful right or claim.
Who needs it
Anyone requesting a copy of a death record or a no-record certification should complete this application and provide the required identification.
How to submit it
Submit the application to the local registrar. The form lists a $10 fee per certified copy or no-record certification for districts other than Monroe County.
About notarization
This application is signed and dated without a notary; attach the required identification copies and, when applicable, documentation of a lawful right or claim.
How to submit this form
- 1
Download The Application
Download the Death Certificate Application PDF.
- 2
Complete The Application
Enter the deceased’s details, your relationship and purpose, the number of copies requested, and your contact information.
- 3
Gather Required Attachments
Copy the required identification and, if you are not a parent, child, or spouse at the time of death, include documentation of a lawful right or claim.
- 4
Submit To The Local Registrar
Submit the completed application and attachments to the local registrar; the form lists the applicable fee.
Frequently asked questions
- Do I need a notary for the Death Certificate Application?
- No. The application is signed and dated without a notary. Include copies of the required identification and, if applicable, documentation of a lawful right or claim.
- How do I submit the Death Certificate Application?
- Submit the completed application to the local registrar. The form lists a $10 fee per certified copy or no-record certification for districts other than Monroe County.
- What identification must I include?
- Include copies of either one listed form of valid photo identification or two listed documents showing your name and address, such as utility bills or a government agency letter.
- What information does the application ask for?
- It asks for details about the deceased, the requested record and number of copies, the purpose of the request, and your relationship to the deceased.