What can I request with this application?

The application lets you request a copy of a death record or a No Record Certification. It asks how many copies you want and whether they should include the confidential cause of death.

Do I need a notary for this death record application?

No. This application is signed and dated without a notary, and it lists no notarized attachment or sworn step.

Erwin, NY · Steuben County

No notary required

Application to Local Registrar for Copy of Death Record

This application is for people requesting a death record copy or No Record Certification from the local registrar.

At a glance

Issued by: City of Erwin · Erwin, Steuben County, New York
Notarization: Not required: file this form without a notary.
Official source: erwinny.gov
Blank form: Download the PDF
Catalogued: Sep 28, 2026
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 number of copies requested, including whether they should include the confidential cause of death. The form states a fee of $10 per copy or certification and says not to send cash or stamps.

Who needs it

A person requesting a death record copy or No Record Certification from the local registrar should complete this application.

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; it lists no notarized attachment or sworn step, so the applicant just signs and dates it.

How to submit this form

1
Download The Application
Download the death record copy application PDF.
2
Complete The Form
Enter the deceased’s details, your relationship and purpose, and the number of copies requested.
3
Check The Fee
The form states a fee of $10 per copy or No Record Certification and says not to send cash or stamps.
4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What can I request with this application?: The application lets you request a copy of a death record or a No Record Certification. It asks how many copies you want and whether they should include the confidential cause of death.
Do I need a notary for this death record application?: No. This application is signed and dated without a notary, and it lists no notarized attachment or sworn step.
How do I submit the application?: Submit it to the city department named on the form; check the city website for current contact details. The form says not to send cash or stamps.

Need something notarized?

This Application to Local Registrar for Copy of Death Record doesn’t need a notary, but if you have another Erwin form that does, a commissioned online notary can help.