Stockholm, NY · St. Lawrence County
Application for Death Record or Copy
Applicants use this form to request a death record or copy and provide details about the deceased, their relationship, and the purpose of the request.
What this form is
This application to the local registrar requests a death record or a copy and asks for the deceased’s identifying information, date and place of death, and the reason the record is needed. Applicants also provide their relationship to the deceased, the capacity in which they are acting, their contact details, and the number of copies requested with or without the confidential cause of death.
Who needs it
A person requesting a death record or copy provides their relationship to the deceased and the purpose for which the record is required.
How to submit it
The form is addressed to the local registrar but gives no mailing address or other submission instructions; 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 notarized or sworn attachment.
How to submit this form
- 1
Download The Application
Download the Application for Death Record or Copy PDF.
- 2
Complete The Application
Enter the deceased’s details, the purpose of the request, your relationship and capacity, and your contact information.
- 3
Choose Copy Options
Indicate the number of copies requested with and without the confidential cause of death.
- 4
Sign And Date
Sign and date the application.
- 5
Submit To The Local Registrar
The form is addressed to the local registrar; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Application for Death Record?
- No. The application calls for the applicant’s signature and date, and does not identify a notarized or sworn attachment.
- How do I submit the death record application?
- The form is addressed to the local registrar but does not give a mailing address or other submission instructions. Check the city website for current contact details.
- What information does the application ask for?
- It asks for details about the deceased, the purpose of the request, your relationship and capacity, your contact information, and the number of copies requested.
Need something notarized?
This Application for Death Record or Copy doesn’t need a notary — but if you have another Stockholm form that does, a commissioned online notary can help.