Death Record Application

Death records may be requested by the immediate family: parents of deceased, siblings of the deceased, child or surviving spouse (if listed on death certificate).

Applicants should bring the completed Application to Local Registrar for Copy of Death Record to Town Clerk's Office along with proper identification and the appropriate fee. Proof of relationship to the decedent will be required by all immediate family members with the exception of the surviving spouse. Proof of a legal/medical need is required for all applicants requesting death records for that purpose.

For parents or surviving spouse, acceptable forms of identification include government-issued identification or passport. For a child or sibling, acceptable types of relationship include a birth certificate or long form marriage record with government-issued identification.

There is a $10 fee per certified copy of a death certificate. Acceptable forms of payment include cash, money order, local check or credit card (a $6 VitalChek service fee applies for all credit card transactions). Please make checks or money orders payable to Hempstead Town Clerk.

To complete this application by mail, please send completed form, required documents and payment to:

Hempstead Town
Registrar's Office
One Washington Street
Hempstead, NY 11550

If you have any questions or concerns, please do not hesitate to contact a member of our staff at or (516) 812-3142.

PLEASE NOTE: As the Town of Hempstead Registrar's Office is a local registrar, the fee is $10 per certified copy.

View a printable Death Record Application form
View PDF


Page Modified: 10/08/2020 11:28:45