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

No. The application has a signature and date line, but no notary block; the applicant signs and dates it.

How do I submit the death record application?

Complete the application and send it to the local registrar with $10 for each copy or no-record certification. The form says not to send cash or stamps.

What information does the application ask for?

It asks for information about the deceased and the applicant, including the date and place of death, the applicant’s relationship and purpose, and the number and type of copies requested.

Gardiner, NY · Ulster County

No notary required

Application for Copy of Death Record

This application lets a person request a death record copy or no-record certification from the local registrar for a deceased individual.

What this form is

This application asks the local registrar to search for and issue a copy of a death record or a no-record certification. It requests details about the deceased, including name, death date, family information and place of death, along with the applicant’s relationship, purpose, contact information and requested copy type; the form states a fee of $10 per copy or certification.

Who needs it

A person requesting a copy of a death record or a no-record certification for a deceased individual should complete this application.

How to submit it

Complete the application and send it to the local registrar with the stated fee of $10 per copy or no-record certification. The form says not to send cash or stamps.

About notarization

This application is signed and dated without a notary; the applicant just signs and dates it.

How to submit this form

1
Download the Application
Download the Application for Copy of Death Record PDF.
2
Complete the Application
Provide the requested details about the deceased, your relationship and purpose, your contact information, and the requested copy type.
3
Prepare the Fee
Include the stated $10 fee for each copy or no-record certification. Do not send cash or stamps.
4
Send It to the Local Registrar
Send the completed application and fee to the local registrar.

Frequently asked questions

Do I need a notary for an Application for Copy of Death Record?: No. The application has a signature and date line, but no notary block; the applicant signs and dates it.
How do I submit the death record application?: Complete the application and send it to the local registrar with $10 for each copy or no-record certification. The form says not to send cash or stamps.
What information does the application ask for?: It asks for information about the deceased and the applicant, including the date and place of death, the applicant’s relationship and purpose, and the number and type of copies requested.

Need something notarized?

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