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

No. This application is signed and dated without a notary, and the form does not identify any attachment or related step that must be notarized or sworn.

How do I submit the death record copy application?

Complete the application for the Local Registrar and enclose the listed fee of $10 per copy or No Record Certification. The form says not to send cash or stamps.

What information does the application ask for?

It asks for the deceased person’s name and identifying details, death date and place, the applicant’s relationship and purpose, and the applicant’s signature and address.

What fee does the form list?

The application lists a fee of $10 per copy or No Record Certification. It instructs applicants not to send cash or stamps.

Northumberland, NY · Saratoga County

No notary required

Application for Copy of Death Record

This application lets a person request a copy of a death record from the Local Registrar by providing details about the deceased and the request.

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 the deceased person’s identifying details, date and place of death, the applicant’s relationship and purpose, and the applicant’s signature and address. The form lists a $10 fee per copy or certification and asks applicants to specify copy type for deaths occurring as of January 1, 1988.

Who needs it

A person requesting a death record copy or No Record Certification from the Local Registrar should complete this application.

How to submit it

Complete the application for the Local Registrar and enclose the fee of $10 per copy or No Record Certification. Do not send cash or stamps.

About notarization

This application is signed and dated without a notary; the form does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

1
Download The Application
Download the Application for Copy of Death Record.
2
Complete The Form
Print or type the deceased person’s information, request purpose, relationship, applicant details, and requested copy information.
3
Gather The Fee
Enclose the listed $10 fee per copy or No Record Certification. Do not send cash or stamps.
4
Submit To The Local Registrar
Send the completed application and fee to the Local Registrar.

Frequently asked questions

Do I need a notary for the death record copy application?: No. This application is signed and dated without a notary, and the form does not identify any attachment or related step that must be notarized or sworn.
How do I submit the death record copy application?: Complete the application for the Local Registrar and enclose the listed fee of $10 per copy or No Record Certification. The form says not to send cash or stamps.
What information does the application ask for?: It asks for the deceased person’s name and identifying details, death date and place, the applicant’s relationship and purpose, and the applicant’s signature and address.
What fee does the form list?: The application lists a fee of $10 per copy or No Record Certification. It instructs applicants 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 Northumberland form that does, a commissioned online notary can help.