Sheldon, NY · Wyoming County
Application for Copy of Death Record
This application lets a person request a death record copy or no-record certification from Sheldon’s local registrar.
What this form is
Use this application when requesting a copy of a death record or a no-record certification. It asks for details about the deceased, including name, date of death, parents’ names, and place of death, as well as the applicant’s relationship, purpose, and contact information. It also asks how many copies are requested, with or without the confidential cause of death.
Who needs it
Anyone requesting a death record copy or no-record certification from Sheldon’s local registrar can use this application.
How to submit it
The form is addressed to the local registrar and lists a fee of $10 per copy or no-record certification. Do not send cash or stamps.
About notarization
This document is signed without a notary; the applicant signs and dates the application.
How to submit this form
- 1
Download The Application
Download the death record copy application PDF.
- 2
Complete The Application
Enter the requested details about the deceased, your relationship and purpose, and your contact information.
- 3
Choose Copy Options
Indicate the number of copies requested with or without the confidential cause of death.
- 4
Submit To The Local Registrar
The form is addressed to the local registrar. Include the listed fee; do not send cash or stamps.
Frequently asked questions
- Do I need a notary for the death record application?
- 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?
- The form is addressed to the local registrar. It lists a $10 fee per copy or no-record certification and says not to send cash or stamps.
- What information does the application ask for?
- It asks for details about the deceased, the applicant’s relationship and purpose, the applicant’s contact information, and the number of copies requested.
Need something notarized?
This Application for Copy of Death Record doesn’t need a notary — but if you have another Sheldon form that does, a commissioned online notary can help.