De Kalb, NY · St. Lawrence County
Death Record Application
This application is for people requesting a certified copy or no-record certification for a death record from a local registrar.
What this form is
Use this New York State Department of Health application to request a copy of a death record or a no-record certification. It asks for information about the deceased, the applicant’s relationship and purpose, and the number of copies requested. Applicants must include copies of the required identification, and people without a specified family relationship must submit documentation of a lawful right or claim.
Who needs it
Anyone requesting a death record copy or no-record certification must complete this application and provide the identification and supporting documentation required by the form.
How to submit it
Submit the application with copies of the required identification and any documentation of a lawful right or claim. The form lists fees of $30 for a county district and $10 for other districts, but gives no submission address or method; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; the form does not identify any attachment or related step as notarized or sworn.
How to submit this form
- 1
Download The Application
Download the Death Record Application PDF.
- 2
Complete The Application
Enter the deceased’s details, your information and relationship, the purpose of the request, and the number of copies requested.
- 3
Gather Required Documents
Attach copies of either one listed valid photo ID or two listed documents showing your name and address; include lawful-right-or-claim documentation if required.
- 4
Submit To The City
Submit the application and attachments to the local registrar. Check the city website for current submission details.
Frequently asked questions
- Do I need a notary for the Death Record Application?
- No. The application has a signature and date line but no notary block; the form does not identify any attachment or related step as notarized or sworn.
- How do I submit the Death Record Application?
- Submit it with copies of the required identification and any documentation of a lawful right or claim. The form does not give a submission address or method, so check the city website for current contact details.
- What identification must I include?
- Include copies of either one listed form of valid photo identification or two listed documents that show your name and address.
- What information does the application ask for?
- It asks for details about the deceased, the applicant, the purpose and relationship, the requested number of copies, and the applicant’s identification.
Need something notarized?
This Death Record Application doesn’t need a notary — but if you have another De Kalb form that does, a commissioned online notary can help.