General Instructions
- Use this application only to submit
your request by U.S. Postal mail.
- Use this application only if the death occurred in Tompkins
County. Contact the New
York State Health Department for deaths occurring
in another County.
- Do not use this application for genealogy requests. Please
visit or genealogy page.
- Only the spouse, parent or child of the deceased may obtain
a death certificate copy.
- Other persons must submit a New York State court order or
documentation demonstrating that the death certificate copy
is required to establish a lawful right or claim (see
below).
- Other persons must submit a New York State court order or
documentation demonstrating that the death certificate copy
is required to establish a lawful right or claim (see
below).
- Print application and submit according
to "How to get..." (below).
- There is a $20 fee for each certified copy.
How to get a mail order copy
- Click here
to download a request form (pdf, 8K.)
- Print and complete the form
- Send with the following:
• Indentification*
• Applicable fee(s): $20
*Acceptable
forms of ID: Driver’s license, Non-driver’s license,
Passport, Naturalization Papers, Military ID, Employer’s
Photo ID, Two utility bills, showing applicant’s name
and address, Police report of lost or stolen ID
- Send to:
Tompkins County Health Department
Attn: Vital Records
55 Brown Road
Ithaca, NY 14850
What is a lawful right or claim?
If the applicant is not the spouse, parent or child of the decedent,
a lawful right or claim must be documented. An example of a lawful
right or claim would be a death record needed by the applicant
to claim a benefit. Documentation would consist of an official
letter from the agency (or attorney representing estate of the
deceased) verifying that to process the claim they require from
the applicant a copy of the requested death record.
|