Madrid, NY · St. Lawrence County
Affidavit to Request Certified Copy of Marriage Certificate
This affidavit is for applicants seeking a certified New York marriage certificate for a dual citizenship application, and is submitted to the New York State Department of Health with required supporting documents.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this affidavit to request a certified copy of a New York State marriage record for a dual citizenship application. The applicant provides information about the couple, marriage, relationship to the bride or groom, and the country where citizenship is sought. The form states that both spouses must be deceased and asks applicants to submit photocopies of their death certificates with the affidavit.
Who needs it
An applicant requesting a certified New York marriage record for dual citizenship needs this affidavit and must document their relationship to the bride or groom.
Why it needs a notary
The form has a subscribed-and-sworn jurat; the applicant signs and swears or affirms the affidavit before a notary public.
How to get this notarized
- 1
Download the Affidavit
Get the New York State Department of Health affidavit for a certified marriage-certificate request connected to a dual citizenship application.
- 2
Fill In the Requested Details
Provide the applicant’s information, marriage details, relationship to the bride or groom, and citizenship purpose.
- 3
Book an Online Notary
Arrange an online notarization with a commissioned online notary before signing.
- 4
Sign During the Video Session
Sign and swear or affirm the affidavit before the notary, following the notary’s instructions.
- 5
Submit the Request
Include photocopies of both spouses’ death certificates and submit the affidavit with your marriage-record request to the New York State Department of Health.
Preview the form
The blank PDF straight from Madrid. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete this marriage certificate affidavit?
- Enter the requested marriage, applicant, relationship, and citizenship-purpose details. Attach photocopies of both spouses’ death certificates, then sign and swear or affirm before a notary.
- Do I need to submit death certificates with this affidavit?
- Yes. The form instructs applicants to submit photocopies of the bride’s and groom’s death certificates with the affidavit.
- Can I sign the affidavit with a commissioned online notary?
- New York authorizes remote online notarization by its notaries under Executive Law §135-c, in effect since 2023. Complete the required oath or affirmation during the online notarization.
- Where do I send the completed affidavit?
- The form is for use with a New York State Department of Health marriage-record request. Check the department’s current submission instructions; confirm with the city, town or village if unsure.