What does the Death Certificate Request to Local Registrar do?

It requests a copy of a death record or a No Record Certification and asks for information about the deceased, the applicant, and the purpose of the request.

What fee does the form list?

The form lists a fee of $10.00 per copy or No Record Certification and says not to send cash or stamps.

Colton, NY · St. Lawrence County

No notary required

Death Certificate Request to Local Registrar

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, including name, date of death, parents’ names, and place of death, as well as the purpose of the request and the applicant’s relationship or capacity. The form lists a fee of $10.00 per copy and says not to send cash or stamps.

Who needs it

An applicant seeking a death record copy or No Record Certification from the local registrar should complete this request.

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 and dated without a notary; the applicant just signs and dates it.

How to submit this form

1
Download The Application
Download the Death Certificate Request to Local Registrar PDF.
2
Complete The Request
Provide the requested details about the deceased, your relationship or capacity, and the purpose of the request.
3
Sign And Date The Form
Sign and date the application, and indicate the number of copies requested.
4
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Death Certificate Request to Local Registrar do?: It requests a copy of a death record or a No Record Certification and asks for information about the deceased, the applicant, and the purpose of the request.
What fee does the form list?: The form lists a fee of $10.00 per copy or No Record Certification and says not to send cash or stamps.
Do I need a notary for the Death Certificate Request to Local Registrar?: No. This document is signed and dated without a notary; the applicant just signs and dates it.
How do I submit the Death Certificate Request to Local Registrar?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Death Certificate Request to Local Registrar doesn’t need a notary — but if you have another Colton form that does, a commissioned online notary can help.