Unadilla, NY · Otsego County

No notary required

Application for Copy of Death Record

This application requests a copy of a death record from the local registrar and is completed by the applicant seeking the record.

What this form is

Use this application to request a copy of a death record or a no-record certification from the local registrar. It asks for details about the deceased, the applicant’s relationship and purpose, and the number of copies requested, including whether the confidential cause of death should be included. The listed fee is $10 per copy; the form says not to send cash or stamps.

Who needs it

A person seeking a copy of a death record or a no-record certification completes this application for the local registrar.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the applicant signs and dates the application, and it lists no notarized attachment or related step.

How to submit this form

  1. 1

    Download The Application

    Download the death record copy application.

  2. 2

    Complete The Application

    Print or type the deceased’s details, the purpose and relationship, and the requested copy information.

  3. 3

    Sign And Date

    Sign and date the application. The form lists no attachment to gather.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Death Record Copy Application for?
It requests a copy of a death record or a no-record certification from the local registrar.
Do I need a notary for the Death Record Copy Application?
No. The applicant signs and dates this application; it lists no notarized attachment or related step.
How do I submit the Death Record Copy Application?
Submit it to the city department named on the form; check the city website for current contact details.
What fee does the application list?
The form lists a fee of $10 per copy or no-record certification and says not to send cash or stamps.

Need something notarized?

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