Scriba, NY · Oswego County

No notary required

Application for Copy of Death Record

This application lets a person request a copy of a death record or a no-record certification from the Scriba Town Clerk.

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, including name, date of death, birth details, and place of death, as well as the applicant’s relationship, purpose, contact information, and requested number of copies. The form lists a $10 fee per copy or no-record certification.

Who needs it

Anyone requesting a death record copy or no-record certification from the Scriba Town Clerk should complete this application.

How to submit it

Mail the form and payment to 42 Creamery Road, Oswego, NY 13126; make checks payable to the Scriba Town Clerk, and do not send cash or stamps.

About notarization

The applicant signs and dates this application without a notary; the document lists no sworn or notarized attachment.

How to submit this form

  1. 1

    Download The Application

    Download the death record copy application PDF.

  2. 2

    Complete The Form

    Enter the deceased’s information, your relationship and purpose, your contact details, and the number of copies requested.

  3. 3

    Prepare Payment

    Include payment at $10.00 per copy or no-record certification. Make checks payable to the Scriba Town Clerk; do not send cash or stamps.

  4. 4

    Mail The Application

    Mail the form and payment to 42 Creamery Road, Oswego, NY 13126.

Frequently asked questions

Do I need a notary for the death record copy application?
No. The applicant signs and dates this application without a notary, and the document lists no sworn or notarized attachment.
How do I submit the death record copy application?
Mail the completed form and payment to 42 Creamery Road, Oswego, NY 13126. Make checks payable to the Scriba Town Clerk; do not send cash or stamps.
What does the application ask for?
It asks for details about the deceased and the applicant, the purpose of the request, the applicant’s relationship or capacity, and the number of copies requested.
How much does a copy or no-record certification cost?
The form lists a fee of $10.00 per copy or no-record certification.

Need something notarized?

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