Thurston, NY · Steuben County
Death Certificate Application
This application lets a person request a death record or No Record Certification from the local registrar for a deceased person.
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, including their name, date and place of death, and parents’ names, along with the applicant’s relationship, purpose, contact information, signature, and date. The form lists a $10 fee per copy or No Record Certification.
Who needs it
Anyone requesting a death record or No Record Certification for a deceased person can use this application.
How to submit it
Send the completed application to the local registrar. The form lists a $10 fee per copy or No Record Certification and says not to send cash or stamps.
About notarization
This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Death Certificate Application PDF.
- 2
Complete The Application
Enter the requested details about the deceased, your relationship and purpose, your contact information, and the number of copies requested.
- 3
Prepare The Fee
The form lists a $10 fee per copy or No Record Certification. Do not send cash or stamps.
- 4
Submit To The Local Registrar
Send the completed application to the local registrar.
Frequently asked questions
- What can I request with this application?
- The application is for requesting a copy of a death record or a No Record Certification from the local registrar.
- What information does the application ask for?
- It asks for information about the deceased, the applicant’s relationship and purpose, the applicant’s contact details, and the number of copies requested.
- Do I need a notary for the Death Certificate Application?
- No. This application is signed and dated without a notary, and it lists no notarized or sworn attachment.
- How do I submit the Death Certificate Application?
- Send the completed application to the local registrar. The form lists a $10 fee per copy or No Record Certification and says not to send cash or stamps.
Need something notarized?
This Death Certificate Application doesn’t need a notary — but if you have another Thurston form that does, a commissioned online notary can help.