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Application for Certified Copy of Vital Records
# OF
COPIES
REQUESTED
FEE PER
ITEM
ITEM DESCRIPTION
$18.00
Certified copy or transcript of a vital record when certificate number is provided
$25.00
When certificate or record number is not known, search for one name in one year and
one city/borough and issuance of search result (copy, transcript, or “not found”
statement).
$12.00
Letter of exemplification with raised seal.
$12.00
Letter of No Amendment /Correction
Make check or money order payable to: NYC Department of Records
PLEASE PRINT
Last name
First name
Email
Phone number
Address
City
State
Zip Code
Contact:
NYC Dept. of Records and Information Services
31 Chambers St. Suite 103
New York, NY 10007
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DEPARTMENT OF HEALTH MARRIAGE CERTIFICATE OR CITY CLERK MARRIAGE LICENSE
NYC Municipal Archives Holdings:
BOROUGH
DEPARTMENT OF HEALTH
CITY CLERK
MANHATTAN
1866-1937
1908-1949
BROOKLYN /
KINGS COUNTY
1866-1937
1908-1949
BRONX
1898-1937
1908-1949
QUEENS
1898-1937
1908-1949
STATEN ISLAND /
RICHMOND
COUNTY
1898-1937
1908-1949
Marriages after 1949 in New York City (all 5 boroughs)
City Clerk of New York
141 Worth Street
New York, NY 10013
Attn: Record Room.
www.cityclerk.nyc.gov OR 311 or (212) NEW-YORK from outside of NY
PLEASE PRINT
Last Name of Groom
First Name of Groom
Last Name of Bride (Maiden name)
First Name of Bride
Place of Marriage
City/Borough
Date of Marriage (Month/Day/Year(s)
Certificate or License Number If Known
Number of Copies requested
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DEPARTMENT OF HEALTH DEATH CERTIFICATE
NYC Municipal Archives Holdings
BOROUGH
DATES
MANHATTAN
1866-1877, 1881-1948
BROOKLYN / KINGS COUNTY
1862-1948
BRONX
1898-1948
QUEENS
1898-1948
STATEN ISLAND / RICHMOND COUNTY
1898-1948
Deaths after 1948 (all 5 Boroughs)
New York City Department of Health
Office of Vital Records
125 Worth Street
CN-4, Room 133
New York, N.Y. 10013-4090
www.nyc.gov/health OR P: 212-788-4520
PLEASE PRINT
Last name on death record
First name
Middle name
Date of death
Month Day Year(s)
Cemetery, if known
Place of death
City/Borough
Age
Father’s name, if known
Mother’s name, if known
Number of copies requested
Certificate no., if known
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DEPARTMENT OF HEALTH BIRTH CERTIFICATE
NYC Municipal Archives Holdings
BOROUGH
DATES
MANHATTAN
1866-1909
BROOKLYN / KINGS COUNTY
1866-1909
BRONX
1898-1909
QUEENS
1898-1909
STATEN ISLAND / RICHMOND COUNTY
1898-1909
Births after 1909 (all 5 Boroughs)
New York City Department of Health
Office of Vital Records
125 Worth Street
CN-4, Room 133
New York, N.Y. 10013-4090
www.nyc.gov/health OR P: 212-788-4520
PLEASE PRINT
Last name on birth record
First name
Female/Male
Date of birth
Month Day Year(s)
Place of birth – if at home, house number and street
City/Borough
Father’s name, if known
Mother’s name, if known
Number of Copies requested
Certificate No., if known
