Covert, NY · Seneca County
Death Record Copy Application
The Town of Covert application lets people 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 from the Town of Covert local registrar. It asks for information about the deceased, the applicant’s relationship and purpose, the number of copies requested, and where records should be sent. The form lists a $10 fee per copy and requires supporting documents from applicants other than a spouse, parent, or child.
Who needs it
Anyone requesting a death record copy or No Record Certification from the Town of Covert local registrar should complete this application.
How to submit it
Complete the form and mail it to the Town Clerk, P.O. Box 265, Interlaken, NY 14847. Enclose the $10 fee per copy; do not send cash, and include supporting documents if required.
About notarization
This application is signed and dated without a notary; it requires supporting documents for certain applicants but does not say those documents must be notarized.
How to submit this form
- 1
Download The Application
Download the Town of Covert death record copy application PDF.
- 2
Complete The Form
Provide the requested information about the deceased, your relationship and purpose, the copies requested, and where records should be sent.
- 3
Gather Required Items
Enclose the $10 fee per copy; do not send cash. Include supporting documents if you are not the deceased’s spouse, parent, or child.
- 4
Mail The Application
Mail the completed form to the Town Clerk, P.O. Box 265, Interlaken, NY 14847.
Frequently asked questions
- Do I need a notary for the Death Record Copy Application?
- No. The application is signed and dated without a notary. Applicants other than a spouse, parent, or child must include supporting documents, but the form does not say they need notarization.
- How do I submit the Death Record Copy Application?
- Mail the completed application to the Town Clerk, P.O. Box 265, Interlaken, NY 14847. Enclose the $10 fee per copy; do not send cash.
- What information does the application ask for?
- It asks for details about the deceased, the applicant’s relationship to the deceased and purpose for the record, the number of copies requested, and a mailing address.
- Who must include supporting documents?
- Applicants other than the deceased’s spouse, parent, or child must include supporting documents establishing their legal right or claim to a copy or transcript.