Milo, NY · Yates County
Application for Death Record
This application lets a person request a copy of a death record or a no-record certification from Milo’s local registrar.
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 name, date of death, parents’ names, and place of death, as well as the applicant’s relationship to the deceased, purpose for the request, and contact information. The form lists a fee of $10 per copy.
Who needs it
Anyone requesting a copy of a death record or a no-record certification from Milo’s local registrar can use this application.
How to submit it
Submit the application to the local registrar. The form lists a fee of $10 per copy and says not to send cash or stamps.
About notarization
This document is signed without a notary; the applicant just signs and dates it, and the form lists no notarized attachment or related step.
How to submit this form
- 1
Download the Application
Download the Application for Death Record PDF.
- 2
Complete the Application
Fill in the requested information about the deceased and applicant, then sign and date the form.
- 3
Choose Copies
Indicate the number of copies requested with and without the confidential cause of death.
- 4
Submit to the Local Registrar
Submit the application to the local registrar. The form lists a $10 fee per copy and says not to send cash or stamps.
Frequently asked questions
- What can I request with the Application for Death Record?
- The form is for requesting a copy of a death record or a no-record certification. It also lets the applicant specify whether copies should include the confidential cause of death.
- What information does the application ask for?
- It asks for details about the deceased, including name, date of death, parents’ names, and place of death, plus the applicant’s relationship, purpose, address, and signature.
- Do I need a notary for an Application for Death Record?
- No. The applicant signs and dates this form without a notary; the form lists no notarized attachment or related step.
- How do I submit the Application for Death Record?
- Submit the application to the local registrar. The form lists a fee of $10 per copy and says not to send cash or stamps.
Need something notarized?
This Application for Death Record doesn’t need a notary — but if you have another Milo form that does, a commissioned online notary can help.