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New York Death Certificate Application

Official state formFree downloadLast verified November 9, 2026

This is the application for a certified copy of a New York State death certificate. It is filed with the New York State Department of Health, Bureau of Vital Records, for deaths outside New York City.

Who can use this form

  • The spouse, parent, child or sibling of the deceased
  • Others with a documented lawful right or claim, a documented medical need, or a New York State court order

What to send with it

  • The completed application
  • A copy of valid ID (or two documents showing your name and address)
  • Proof of your relationship, such as a birth certificate, marriage certificate or obituary
  • The state fee by check or money order payable to NYS Department of Health

Where to send it

Mail to
New York State Department of Health Vital Records Certification Unit P.O. Box 2602 Albany, NY 12220-2602
State fee
Not provided
Typical processing
Not provided
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New York Death Certificate Application | New York Form