Get Information Page Mail-in Application For Copy Of Death Certificate - Health Ny

Filling out the Information Page Mail-in Application for a copy of a death certificate is a crucial process for those needing official records. This guide aims to provide clear and supportive instructions for users to complete the application online efficiently.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in your chosen editor.
2. Begin by providing the name of the deceased, including first, middle, and last names. Ensure this information is accurate.
3. Enter the deceased's social security number. If unknown, you may leave this field blank.
4. Fill in the date of death using the mm/dd/yyyy format. If you are searching for a period, specify the 'From' and 'To' dates.
5. Next, include the date of birth of the deceased. This is also formatted as mm/dd/yyyy.
6. If applicable, provide the maiden name of the mother of the deceased and the names of the father.
7. Indicate the place of death by specifying the name of the hospital or street address, followed by the village, town, or city of death.
8. State the purpose for which the record is required and your relationship to the deceased.
9. If you are not the spouse, parent, or child of the deceased, include documentation proving your lawful right to obtain the record.
10. Sign and date the application at the bottom, ensuring your signature is clear and matches your name in the address section.
11. Select the handling option - regular or priority - and calculate the fee by multiplying the number of copies by the respective fee.
12. Provide the address where the record should be sent. If using a P.O. Box or sending to a third party, include a notarized statement and a copy of your driver's license.
13. Review the completed form for any errors, ensuring all necessary documentation is attached before mailing.
14. Finally, you may save changes, download, print, or share the completed form as needed.

Complete your documents online to ensure a smooth application process.