Gouverneur, NY · St. Lawrence County
General Information and Application for Genealogical Services
This application lets people request genealogical copies of birth, death, or marriage records from the New York State Department of Health.
What this form is
Use this application for genealogy requests for birth, death, or marriage records; the document says it is not for commercial purposes. It asks for details about the person and record, the applicant’s purpose and relationship, and the applicant’s contact information and signature. The form describes search fees and record-age requirements, and says documentation is needed for the descendant exception.
Who needs it
People requesting genealogical copies of birth, death, or marriage records complete the applicable section for each record they request.
How to submit it
The form identifies this as a mail-in application but gives no mailing address. Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; it does not identify a notarized or sworn attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download and print a copy of the genealogical services application.
- 2
Complete The Applicable Section
Provide the requested information for each birth, death, or marriage record, along with your purpose and relationship to the person.
- 3
Gather Any Supporting Documentation
If relying on the descendant exception, the instructions say to provide documentation of direct-line descent; an authorized representative must also document the descendant’s authorization.
- 4
Sign And Date The Application
Sign and date the application. The document does not require notarization.
- 5
Submit The Application
The document describes a mail-in application but gives no mailing address. Check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Genealogical Services Application?
- No. The application is signed and dated without a notary, and it does not identify a notarized or sworn attachment.
- How do I submit the Genealogical Services Application?
- The document identifies this as a mail-in application but provides no mailing address. Check the city website for current contact details.
- What records can I request with this application?
- The application has sections for genealogical requests for birth, death, and marriage records. Complete the applicable section for each type of record requested.
- What information does the application ask for?
- It requests details about the person and record, your purpose and relationship to the person, your contact information, and your signature. It also asks for documentation in certain descendant requests.
Need something notarized?
This General Information and Application for Genealogical Services doesn’t need a notary — but if you have another Gouverneur form that does, a commissioned online notary can help.