Do I need a notary for the Application for Copy of Death Record?

No. The application asks the applicant to sign and date it, but it does not include a notary block or identify a notarized or sworn attachment.

How do I submit the death record application?

Mail the signed application to the Village of Brightwaters at 40 Seneca Drive, Brightwaters, NY 11718. Include the required identification, a $10 money order per copy, and a stamped self-addressed envelope.

What identification must I include?

Include a copy of one listed valid photo ID, such as a driver’s license or passport, or copies of two listed documents showing your name and address.

What payment does the application require?

Include a $10 money order for each copy, payable to the Village of Brightwaters. The application says not to send personal checks.

Brightwaters, NY · Suffolk County

No notary required

Application for Copy of Death Record

This application lets a person request a copy of a death record from the Village of Brightwaters by providing information about the deceased and the applicant.

What this form is

Use this application to request a copy of a death record from the Village of Brightwaters. It asks for information about the deceased, including name, date of death, and place of death, as well as the applicant’s contact details, relationship to the deceased, and reason for the request. Mail-in applicants must include valid identification, a $10 money order per copy, and a stamped self-addressed envelope.

Who needs it

Anyone requesting a copy of a death record from the Village of Brightwaters should complete this application and provide the required identification.

How to submit it

Mail the completed, signed application to the Village of Brightwaters, 40 Seneca Drive, Brightwaters, NY 11718. Include a copy of valid photo ID or two documents showing your name and address, a $10 money order per copy payable to the Village, and a stamped self-addressed envelope; do not send personal checks.

About notarization

This application is signed and dated without a notary; no notarized or sworn attachment is identified, so the applicant just signs and dates it.

How to submit this form

1
Download The Application
Download the Application for Copy of Death Record.
2
Complete And Sign
Print or type the deceased’s information and your applicant information, then sign and date the application.
3
Gather Required Items
Include a copy of valid photo ID or two documents showing your name and address, a $10 money order per copy, and a stamped self-addressed envelope.
4
Mail The Application
Mail the completed application and required items to the Village of Brightwaters, 40 Seneca Drive, Brightwaters, NY 11718.

Frequently asked questions

Do I need a notary for the Application for Copy of Death Record?: No. The application asks the applicant to sign and date it, but it does not include a notary block or identify a notarized or sworn attachment.
How do I submit the death record application?: Mail the signed application to the Village of Brightwaters at 40 Seneca Drive, Brightwaters, NY 11718. Include the required identification, a $10 money order per copy, and a stamped self-addressed envelope.
What identification must I include?: Include a copy of one listed valid photo ID, such as a driver’s license or passport, or copies of two listed documents showing your name and address.
What payment does the application require?: Include a $10 money order for each copy, payable to the Village of Brightwaters. The application says not to send personal checks.

Need something notarized?

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