Village of Goshen, NY · Orange County

Death Certificate Application by Mail

The Village of Goshen form lets eligible applicants request a certified death certificate by mail and submit identification, relationship proof, payment, and a notarized acknowledgment.

Standard form~15 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

Use this application to request a certified copy of a death certificate from the Village of Goshen by mail. The form lists who may apply and the proof of relationship or other documentation to include, along with the $10-per-copy payment and a self-addressed stamped envelope for the return mailing. The checklist also requires the application’s notarized acknowledgment, current identification, and a letter from an agency requiring the document when applicable.

Who needs it

Anyone eligible to request a Goshen death certificate by mail must submit this form with the required identification, supporting documents, payment, and notarized acknowledgment.

Why it needs a notary

The form carries a notary acknowledgment; the applicant whose name is subscribed to the application signs before the notary and acknowledges executing it.

How to get this notarized

  1. 1

    Download the Application

    Get the Village of Goshen death certificate application by mail.

  2. 2

    Fill Out the Form

    Enter the deceased’s name, date of death, and applicant details; gather the identification and supporting documents listed on the form.

  3. 3

    Book an Online Notary

    Arrange a session with a commissioned online notary for the form’s acknowledgment.

  4. 4

    Sign on Video

    Follow the notary’s instructions and sign or acknowledge the application during the online session.

  5. 5

    Submit to the Village

    Mail the completed, notarized application with required documents, payment, and a self-addressed stamped envelope to the Village of Goshen.

Preview the form

The blank PDF straight from Village of Goshen. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I request a Goshen death certificate by mail?
Complete the application, include the required identification and proof of relationship, and provide payment of $10 per copy plus a self-addressed stamped envelope. The checklist also requires a notarized acknowledgment.
Do I need to sign this application before a notary?
Yes. The form’s checklist asks for an application including a notarized acknowledgment, and the form provides a notary acknowledgment block for the applicant.
Can I complete the notarization online?
New York authorizes remote online notarization by a commissioned online notary under Executive Law §135-c. Confirm with the city, town or village if unsure whether it will accept the remotely notarized acknowledgment.
What payment and mailing items does the form request?
The form lists a $10 fee per copy, payable by certified check, cash, or money order to the Village of Goshen. It also asks for a self-addressed stamped envelope so the certificate can be returned.

Ready to notarize your Death Certificate Application by Mail?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.