Ballston Spa, NY · Saratoga County
Application for Death Record
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
This application is used to request a copy of a death record or a no-record certification from the local registrar. It asks for details about the deceased, including name, date and place of death, and family information, along with the applicant’s relationship, purpose, contact details, and signature. The form lists a $10 fee per copy and separate options for copies with or without confidential cause of death.
Who needs it
Anyone requesting a death record copy or no-record certification from the local registrar can use this application.
How to submit it
Submit the application to the local registrar. The form lists a $10 fee per copy and says not to send cash or stamps.
About notarization
This document is signed without a notary; the applicant just signs and dates the application.
How to submit this form
- 1
Download The Application
Download the Application for Death Record PDF.
- 2
Complete The Application
Fill in the deceased’s details, the purpose for the record, your relationship, contact information, and the requested copy options.
- 3
Sign And Date
Sign and date the application.
- 4
Submit To The Local Registrar
Submit the application to the local registrar. Do not send cash or stamps.
Frequently asked questions
- Do I need a notary for the Application for Death Record?
- No. The application has a signature and date line but no notary block; the applicant just signs and dates the form.
- How do I submit the Application for Death Record?
- Submit the application to the local registrar. The form says not to send cash or stamps and lists a $10 fee per copy.
- What information does the application ask for?
- It asks for information about the deceased, the applicant’s relationship and purpose, the applicant’s contact details, and the applicant’s signature and date.
- What can I request with this application?
- The form is for requesting a copy of a death record or a no-record certification, with options for copies with or without confidential cause of death.