Birth or Death Record Request

Certified copies of Birth or Death Records with an official stamp and raised seal are provided for
$10.00 per copy

Those who have the ability to request a Death Certificate:

• The named individual
• An immediate family member or first degree relative (husband, wife, mother, father, child) of the named individual
  If you are not an immediate family member, you must provide a signed and notarized letter from one of the immediate family members giving you permission to receive the document
• Attorney for the named individual or estate
• Executor/Executrix of the individual or estate (death certificate)
• or have Power of Attorney for the named individual

Those who have the ability to request a Birth Certificate:

• The person born in Cheektowaga named on the birth certificate who is 18 years of age or older
• A parent of the person named on the birth certificate. The requesting parent’s name must be show on the birth certificate
• Only by Order of a New York State Court or Government agency for a legal or property purpose may a spouse, child or other person obtain a copy of a birth certificate
• If you have custody of a minor under the age of 18, you will need custody papers that are no older than 6 months otherwise you must obtain an updated copy from the court
• New York State Court Order

To Request by Mail:

A letter can be addressed to the Town Clerk’s office (Registrar of Vital Statistics) requesting a certified copy of a Certificate of Birth or Death to Cheektowaga Town Clerk – Vital Records, 3301 Broadway Street – Room 101, Cheektowaga, NY 14227

• Vital Statistics Request Form or letter with details
• Proof of identity and relation to the individual(s)
  • Driver’s license with photo
  • Non-driver photo ID card
  • Passport
  • Nexus Pass
  • Other government issued photo ID
• Check for the number of copies being requested

GENEALOGICAL SEARCH SERVICES
Search Fee: $10.00 per name, per enactment of Ch. 413 of the Laws of 1991
Genealogical Copy: $1.00

Application and further information may be obtained by emailing townclerkwebmail@tocny.org or contacting Carol Driscoll, Deputy Town Clerk at (716)686-3982