What does the Application for Death Record request?

It requests a death record copy or No Record Certification and asks for details about the deceased, the search period, the number of copies, and the purpose of the record.

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. The form also requires documentation of a lawful right or claim for some applicants.

How do I submit an Application for Death Record?

Submit it to the local registrar with the required identification and any applicable lawful-right-or-claim documentation. The form does not provide an address or other contact details.

Piercefield, NY · St. Lawrence County

No notary required

Application for Death Record

This application lets a person request a certified copy or No Record Certification for a death record from the local registrar.

What this form is

Use this application to request a copy of a death record, indicating the deceased’s details, the search period, the number of copies, and the purpose for the record. Applicants must provide qualifying identification, and those who are not the deceased’s parent, child, or spouse at the time of death must include documentation of a lawful right or claim. The form lists copy fees by district.

Who needs it

Anyone requesting a death record copy or No Record Certification from the local registrar must complete this application and provide the required identification.

How to submit it

Submit the application to the local registrar. Include copies of the required identification and, if applicable, documentation of a lawful right or claim; the form does not provide an address or other contact details.

About notarization

This document is signed and dated without a notary; attach the required identification and, if applicable, documentation of a lawful right or claim.

How to submit this form

1
Download The Application
Download the Application for Death Record.
2
Complete The Application
Enter the deceased’s details, requested search period and copy count, and the purpose for the record.
3
Gather Required Attachments
Copy one listed form of valid photo ID or two listed documents; include lawful-right-or-claim documentation if applicable.
4
Sign And Date
Sign and date the application; the form does not include a notary requirement.
5
Submit To The Local Registrar
Submit the completed application and attachments to the local registrar.

Frequently asked questions

What does the Application for Death Record request?: It requests a death record copy or No Record Certification and asks for details about the deceased, the search period, the number of copies, and the purpose of the record.
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. The form also requires documentation of a lawful right or claim for some applicants.
Do I need a notary for an Application for Death Record?: No. Sign and date the application without a notary. Attach the required identification and, if applicable, documentation of a lawful right or claim.
How do I submit an Application for Death Record?: Submit it to the local registrar with the required identification and any applicable lawful-right-or-claim documentation. The form does not provide an address or other contact details.

Need something notarized?

This Application for Death Record doesn’t need a notary — but if you have another Piercefield form that does, a commissioned online notary can help.