Plainfield, NY · Otsego County
Death Record Search Application
This application lets a person request a copy of a death record or a no-record certification from the local registrar.
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, the applicant’s relationship and purpose, and where the record should be sent. For deaths occurring as of January 1, 1988, it also asks for the number of copies requested with or without the confidential cause of death.
Who needs it
A person requesting a death record copy or no-record certification completes the application with details about the deceased and the request.
How to submit it
The form identifies the Local Registrar and lists a fee of $10.00 per copy or no-record certification; it says not to send cash or stamps. Check the city website for current contact details.
About notarization
This document is signed and dated without a notary; the signer just signs and dates the application.
How to submit this form
- 1
Download The Application
Download the Death Record Search Application PDF.
- 2
Complete The Application
Print or type the deceased’s details, your relationship and purpose, requested copies, and the mailing address for the record.
- 3
Check The Fee Instructions
The form lists $10.00 per copy or no-record certification and says not to send cash or stamps.
- 4
Submit To The Local Registrar
The form identifies the Local Registrar. Check the city website for current contact details.
Frequently asked questions
- What does the Death Record Search Application request?
- It requests information about the deceased, the applicant’s relationship and purpose, and where the record should be sent. It also asks for the requested copy count and cause-of-death confidentiality preference for applicable deaths.
- Who can use this application?
- A person seeking a copy of a death record or a no-record certification can complete the application. It asks the applicant to state their relationship to the deceased and the purpose of the request.
- Do I need a notary for this death record search application?
- No. The application has a signature and date field but no notary block; the signer just signs and dates it.
- How do I submit the death record search application?
- The form identifies the Local Registrar and lists a fee of $10.00 per copy or no-record certification. It says not to send cash or stamps; check the city website for current contact details.