Monroe County Vital Records

Monroe County, NY Vital Records : Birth & Death Certificates

Death Certificate Order Form

Did the death of the person on the certificate occur in Monroe County, NY?

YES NO

Please contact the county of death to order a death certificate.

Whose death certificate are you ordering?

Please be prepared to provide proof of relationship, if requested. Step-family members are not legally entitled.

My child's death certificate My parent's death certificate My spouse's death certificate - must be named on certificate My sibling's death certificate Other

If relationship is "other," please call our office at 585-753-5141.

* Required Fields

Name (as it appears on certificate): *

First *

Middle

Last *

Suffix

Gender: *

Date of DEATH (not date of birth): *

How many copies of this certificate are you ordering?* x $30 each