Our Department has death records only of people who have died in Lackawanna, NY.
Fees: $10.00 for a certified Death Certificate and $5.00 for an uncertified record
D ownload and print the form here
(REQUEST FOR DEATH CERTIFICATE)
(requires ADOBE ACROBAT)
Only the spouse, parent, child, or legal representative of the deceased may obtain a copy of the Death Certificate.
If applying by mail, please furnish the following:
DECEASED'S NAME
DATE OF DEATH
SPECIFIC RELATION TO THE DECEASED (SEE ABOVE FOR GUIDELINES)
COPY OF YOUR DRIVER'S LICENSE (OR 3 OTHER FORMS OF ID)
POSTAL OR MONEY ORDER (SORRY, WE DO NOT ACCEPT PERSONAL CHECKS)
mail to: VITAL RECORDS 714 RIDGE RD. RM 215 LACKAWANNA, NY 14218 (716) 827-6431
Requests will be answered the same day they are received.
If applying in person, we are located at 714 Ridge Rd; 2nd Fl, Rm 215
FILL OUT APPLICATION FURNISHED IN OFFICE
PRESENT COPY OF YOUR DRIVER'S LICENSE (OR 3 OTHER FORMS OF ID)
CASH PAYMENT
Mosts Requests are fulfilled within 5-10 minutes
Fees: $10.00 for a certified Death Certificate and $5.00 for an uncertified record
D ownload and print the form here
(REQUEST FOR DEATH CERTIFICATE)
(requires ADOBE ACROBAT)
Only the spouse, parent, child, or legal representative of the deceased may obtain a copy of the Death Certificate.
If applying by mail, please furnish the following:
DECEASED'S NAME
DATE OF DEATH
SPECIFIC RELATION TO THE DECEASED (SEE ABOVE FOR GUIDELINES)
COPY OF YOUR DRIVER'S LICENSE (OR 3 OTHER FORMS OF ID)
POSTAL OR MONEY ORDER (SORRY, WE DO NOT ACCEPT PERSONAL CHECKS)
mail to: VITAL RECORDS 714 RIDGE RD. RM 215 LACKAWANNA, NY 14218 (716) 827-6431
Requests will be answered the same day they are received.
If applying in person, we are located at 714 Ridge Rd; 2nd Fl, Rm 215
FILL OUT APPLICATION FURNISHED IN OFFICE
PRESENT COPY OF YOUR DRIVER'S LICENSE (OR 3 OTHER FORMS OF ID)
CASH PAYMENT
Mosts Requests are fulfilled within 5-10 minutes