Do I need a notary for the death record copy application?

No. The application has a signature and date line but no notary block. The signer signs and dates it; no notarized or sworn attachment is mentioned.

How do I submit the death record copy application?

Submit it to the local registrar. The form does not provide submission contact details, so check the city website for current information.

What identification must I include?

Include a copy of one listed form of valid photo ID, or copies of two listed documents showing your name and address. The form lists examples for each option.

When must I provide proof of a lawful right or claim?

If you are not the deceased’s parent, child, or spouse at the time of death, the form says you must submit documentation of a lawful right or claim.

Goshen, NY · Orange County

No notary required

Application to Local Registrar for Copy of Death Record

This application lets a person request certified copies or a no-record certification for a deceased person 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 purpose, the number and type of copies requested, and the applicant’s contact information. Applicants who are not the deceased’s parent, child, or spouse at the time of death must submit documentation of a lawful right or claim, along with the required identification.

Who needs it

Anyone requesting a copy of a death record or a no-record certification from the local registrar should complete this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form lists a fee of $30 for the county district or $10 per certified copy or no-record certification for other districts.

About notarization

This application is signed and dated without a notary; the signer just signs and dates it, and no notarized or sworn attachment is mentioned.

How to submit this form

1
Download The Application
Download the death record copy application PDF.
2
Complete The Application
Enter the deceased’s details, your relationship and purpose, the number and type of copies requested, and your contact information.
3
Gather Identification And Attachments
Include the required photo ID or two documents showing your name and address. Add documentation of a lawful right or claim if required.
4
Submit To The Local Registrar
Submit the application to the local registrar; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the death record copy application?: No. The application has a signature and date line but no notary block. The signer signs and dates it; no notarized or sworn attachment is mentioned.
How do I submit the death record copy application?: Submit it to the local registrar. The form does not provide submission contact details, so check the city website for current information.
What identification must I include?: Include a copy of one listed form of valid photo ID, or copies of two listed documents showing your name and address. The form lists examples for each option.
When must I provide proof of a lawful right or claim?: If you are not the deceased’s parent, child, or spouse at the time of death, the form says you must submit documentation of a lawful right or claim.

Need something notarized?

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