Marion, NY · Wayne County
Application for Copy of Death Record
This application requests a copy of a deceased person’s death record and is completed by the applicant seeking the record.
What this form is
Use this application to request a copy of a death record from the local registrar. It asks for details about the deceased, including name, date and place of death, and the applicant’s relationship to the deceased and reason for the request. The form also asks for the applicant’s signature and address, and the number of copies requested with or without confidential cause of death.
Who needs it
A person seeking a copy of a death record completes this application and provides their relationship to the deceased and purpose for the request.
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 without a notary; the applicant just signs and dates the form.
How to submit this form
- 1
Download The Application
Download the application for a copy of a death record.
- 2
Complete The Application
Enter the requested information about the deceased and applicant, and indicate the number of copies requested.
- 3
Sign And Date The Form
Sign and date the application.
- 4
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the death record copy application?
- No. This application is signed without a notary; the applicant just signs and dates the form.
- How do I submit the death record copy application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application request?
- It asks for information about the deceased, the applicant’s relationship and purpose for the request, the applicant’s signature and address, and the number of copies requested.