Hermon, NY · St. Lawrence County
Application for Copy of Death Record
This application is for people requesting a certified copy or no record certification for a death record from a local registrar.
At a glance
- Issued by
- City of Hermon · Hermon, St. Lawrence County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- hermonny.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request a copy of a death record or a no record certification. It asks for details about the deceased, the applicant’s relationship and purpose, and the requested copies; the listed fee is $10 per certified copy. Include copies of the required identification, and submit documentation of a lawful right or claim if you are not the deceased’s parent, child, or spouse at the time of death.
Who needs it
Anyone requesting a death record copy or no record certification must complete the application and provide the identification described on the form.
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 application is signed and dated without a notary; the form calls for identification copies and, in some cases, documentation of a lawful right or claim.
How to submit this form
- 1
Download The Application
Download the death record copy application.
- 2
Complete The Form
Enter the deceased’s details, your contact information and relationship, the purpose of the request, and the number of copies requested.
- 3
Gather Required Documents
Include copies of the identification described on the form. If required, include documentation of a lawful right or claim.
- 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
- Do I need a notary for the death record application?
- No. The application has a signature and date field but no notary block. Submit identification copies and, when required, documentation of a lawful right or claim.
- How do I submit the death record application?
- The form does not provide submission instructions. Submit it to the city department named on the form and 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 showing your name and address, such as utility bills or a recent government agency letter.
- What fee does the form list?
- The application lists a fee of $10 per certified copy or no record certification. It also asks you to state the number of copies requested.