Clipboard with pencil checking boxes.

Who is eligible to get a copy of a death certificate?

  • The spouse, parent, child or sibling of the deceased

  • Other people who have a:

    1. documented lawful right or claim

    2. documented medical need

    3. New York State Court Order

If you are not the spouse, parent, child or sibling of the deceased you must document a lawful right or claim. For example, you may need a death certificate to claim a benefit. You would need an official letter from the agency saying you need the death record to process the claim.

What identification needs to be submitted by the applicant?

Application must be submitted with copies of either A or B:

  1. One of the following forms of valid photo-ID:

    • Driver's license

    • State-issued, non-driver photo-ID card

    • Passport

    • U.S. Military-issued, photo-ID

OR

  1. Two of the following showing the applicant's name and address:

    • Utility or telephone bill

    • Letter from a government agency dated within the last six months

Please forward copies of your ID to suzannemcbride@portjervisny.gov

Click Here for Fillable Form

Death Certificate
Used to contact you in case of problem with payment
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