Homepage Free Nyc Health Vr 66 Form in PDF
Jump Links

In the bustling city of New York, navigating through the administrative processes can often seem like a daunting task, especially when it involves acquiring vital documents such as death certificates. The NYC Health VR 66 form serves as a crucial gateway for individuals in need of obtaining a death certificate, detailing the necessary steps, requirements, and fees associated with this process. Housed within the Office of Vital Records, this application facilitates the legal and proper request for a death certificate, indicating specifics such as the deceased's last name at the time of death, date and place of death, along with the applicant's relationship to the deceased. Moreover, it underscores the importance of accuracy and honesty, reminding applicants of the misdemeanor charges and potential fines for providing false information. The VR 66 form also emphasizes the various ordering methods available – online, walk-in, or by mail, catering to the varying needs of New Yorkers. Equally important are the identification and documentation requirements laid out to ensure that requests are legitimate, safeguarding the privacy and sanctity of the deceased and their families. By offering a blend of stringent security measures and accessible ordering options, the NYC Health VR 66 form embodies the city's commitment to both efficiency and empathy in handling such sensitive matters.

Nyc Health Vr 66 Sample

Register to vote:

http://www.nyccfb.info/public/VRC/registeringToVote.aspx?sm=public_rtv

Office of Vital Records

125 Worth Street, CN-4, Room 133

New York, N.Y. 10013-4090

SEE INSTRUCTIONS AND

APPLICABLE FEES BELOW AND

ON BACK

DEATH CERTIFICATE APPLICATION

(Please Print Clearly)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. LAST NAME AT TIME OF DEATH

 

 

 

 

 

 

 

 

 

 

 

 

 

2. FIRST NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. FEMALE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MALE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. DATE OF DEATH

 

 

 

 

 

5. IF YOU DON’T KNOW THE EXACT DATE OF DEATH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BEGIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

END

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SEARCH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SEARCH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MM

DD

YYYY

 

 

 

 

 

 

 

 

 

MM

DD

 

 

 

 

YYYY

 

 

 

 

MM

 

 

 

DD

YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. PLACE OF DEATH

 

 

 

 

 

7. BOROUGH

 

 

 

 

 

 

 

 

 

 

 

 

 

8. AGE

 

 

 

9. HOW MANY COPIES

 

 

10. DO YOU NEED A LETTER OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAN BRONX BKLYN QUEENS SI

 

 

 

 

 

 

 

DO YOU NEED?

 

 

 

 

 

EXEMPLIFICATION YES NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. SPOUSE OR DOMESTIC PARTNER’S NAME

 

 

 

 

 

 

 

12. LAST KNOWN ADDRESS

 

 

 

 

 

 

 

 

 

13. OCCUPATION OF DECEASED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14. FATHER/PARENT’S NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16. SOCIAL SECURITY NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

17. CERTIFICATE NUMBER (if known)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18. WHY DO YOU NEED THIS CERTIFICATE?

 

 

 

 

 

 

 

 

 

 

 

 

 

19. WHAT IS YOUR RELATIONSHIP TO DECEASED?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE PRINT YOUR MAILING AND CONTACT INFORMATION CLEARLY BELOW

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DAYTIME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NUMBER

 

 

Area Code

 

 

 

 

Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-MAIL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20. DO YOU NEED THE CAUSE OF DEATH? YES

NO

 

 

 

21. FEES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

You may only obtain cause of death if your relationship to the deceased is

 

 

 

 

$15 per copy x _________ copies

 

 

 

 

 

 

$ _________

 

 

 

 

 

listed below:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of certified copy includes a two consecutive year search

 

 

 

 

 

Please check the appropriate box

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Spouse or Domestic Partner Parent or Child Sibling

 

 

 

 

$3 for each extra year searched x _______ years

$ _________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Grandparent Grandchild

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Amount Enclosed: $ _________

 

 

 

 

Person in control of disposition on death certificate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IF RECORD IS NOT ON FILE, A CERTIFIED “NOT FOUND STATEMENT” WILL BE ISSUED.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICATIONS SUBMITTED BY MAIL MUST

 

 

NOTARY PUBLIC SEAL

 

 

 

22. CUSTOMER SIGNATURE. IF BY MAIL MUST BE NOTARIZED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BE NOTARIZED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

By my signature below, I state I am the person whom I represent myself to be

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

herein. I affirm the information within this form is complete and accurate. In

 

 

 

 

STATE OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

addition, I acknowledge that misstating my identity or assuming the identity of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

another person including forging a signature may subject me to a misdemeanor

 

 

 

 

COUNTY OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and violators may also be subject to a fine of up to $2,000.

 

 

 

 

SUBSCRIBED AND SWORN BEFORE ME:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THIS ______ DAY OF _______________ , 20 ____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature (required)

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTARY PUBLIC SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Credit cards are not accepted for mail-in orders. Please make your check or money order payable to the NYC Department of Health and Mental Hygiene. If from a foreign country, send an international money order or check drawn on a U.S. bank. Cash is not accepted by mail or in person.

ORDER DEATH CERTIFICATES QUICKLY AND SECURELY AT WWW.NYC.GOV/VITALRECORDS

VR 66 (Rev. 01/15)

IMPORTANT DEATH CERTIFICATE INFORMATION

You can obtain a death certificate if you are the spouse, domestic partner, parent, child, sibling, grandparent or grandchild of the decedent, or if you establish your right to obtain this document (see documentation requirements below).

All death certificates are mailed, usually within 2-4 weeks. If there is an urgent need, and documentation is provided, you can request expedited services and you will be called to pick up the certificate in 5-7 business days.

Falsifying information, including forging a signature, to obtain a death certificate is a misdemeanor and violators may also be subject to a fine of up to $2,000 per violation.

Submitting fraudulent identification is a crime and violators are subject to prosecution.

Please see below for identification requirements, fees and other important information.

ID requirements are subject to change.

3 WAYS TO ORDER A NEW YORK CITY DEATH CERTIFICATE

Online: Visit www.nyc.gov/vitalrecords to order using a credit card, debit card or electronic check. “Only spouses, domestic partners, parent, siblings, grandparent, grandchild, or person in charge of the disposition (informant) may submit orders online”

Walk-In: Go to 125 Worth Street in Lower Manhattan and use the Lafayette Street (handicapped accessible) or Centre Street entrances. We are open Monday through Friday 9:00AM – 3:30PM. Lines are shortest

in the morning.

By Mail: Applications submitted by mail must be signed in the presence of a Notary Public. Mail your application to 125 Worth Street, CN-4, New York, NY 10013. Be sure to include a self-addressed, stamped, envelope with your check or money order. You also will need to provide a photocopy of the required identification and any necessary documentation (see below).

Identification (ID) Requirements including the deceased’s spouse, domestic partner, parent, sibling, grandparent, grandchild, or person in charge of the disposition (informant)

We accept any of the following, IF it includes your photo, your signature and is unexpired:

Driver’s License or Non-driver’s ID Card

IDNYC Municipal ID

Passport

Government ID

Employment ID with pay stub

If you don’t have any of the above, we also accept:

Inmate photo ID with release papers

Two different documents as indicated below if they show your name and address and are dated within the past 60 days, we will MAIL the certificate

m Utility or telephone bills

m Official government mail that you have received

If you do not have the items required above, you may email nycdohvr@health.nyc.gov for additional information and options.

Documentation Requirements for applicants NOT related to the deceased

If you are not related to the deceased, you need to establish your right to obtain a death certificate. You may obtain a death certificate if you are the legal representative of the estate, a party with a property right to protect or assert, or if you can specify another judicial or other proper purpose.

Insurance Policy

Will

Bank Book or statement

Property Deed

Other document showing entitlement

If you are unable to provide the required documents, ask us for help by calling 311 or 1-212-NEW-YORK if you are outside of New York City.

VR 66 (Rev. 01/15)

File Overview

Fact Detail
Form Purpose Application for a death certificate
Governing Location New York City, New York
Office Address Office of Vital Records, 125 Worth Street, CN-4, Room 133, New York, N.Y. 10013-4090
Eligible Applicants Spouse, domestic partner, parent, child, sibling, grandparent, grandchild of the decedent, or person with a legal or proper purpose
Application Method Online, Walk-In, By Mail
Identification Requirements Photo ID with signature or two documents showing name and address
Fees $15 per copy, plus extra charges for additional years searched; non-refundable fee if record not found
Governing Law(s) New York City health codes and regulations

Nyc Health Vr 66: Usage Guidelines

Filling out the NYC Health VR 66 form is a crucial step in obtaining a death certificate, essential for various legal, financial, and personal matters following the death of a loved one. The process involves providing detailed information about the deceased, the applicant, and the purpose of the certificate request. Once completed, the form can be submitted by mail, ensuring compliance with all provided instructions and fee requirements.

  1. Begin by entering the last name of the deceased at the time of their death in the space provided.
  2. Fill in the first name of the deceased.
  3. Check the appropriate box to indicate the gender of the deceased (Female or Male).
  4. Enter the date of death. If unknown, provide a start and end date for the search.
  5. Specify the place of death including the hospital or address if known.
  6. Select the borough where the death occurred (Bronx, Brooklyn, Queens, Staten Island).
  7. Provide the age of the deceased at the time of death.
  8. State how many copies of the death certificate you require.
  9. Indicate if you need a Letter of Exemplification by checking Yes or No.
  10. Enter the name of the spouse or domestic partner of the deceased, if applicable.
  11. Provide the last known address of the deceased.
  12. List the occupation of the deceased.
  13. Enter the names of the deceased's parents.
  14. Fill in the Social Security Number of the deceased, if known.
  15. If the certificate number is known, enter the Certificate Number.
  16. Specify why you need the certificate.
  17. State your relationship to the deceased.
  18. Print your mailing and contact information clearly, including name, daytime phone number, and email address.
  19. Indicate if the cause of death is needed by checking Yes or No (restrictions apply based on your relationship to the deceased).
  20. Calculate the fees based on the number of copies requested and additional services, such as searches beyond two years, and enter the Total Amount Enclosed.
  21. Applications by mail must include the customer's signature notarized. Provide the place and date where the form is notarized, followed by the Notary Public's signature.
  22. Attached a check or money order payable to the NYC Department of Health and Mental Hygiene for the total amount. Ensure no credit cards are used for mail orders, and if applicable, international orders must use an international money order or a check drawn on a U.S. bank. Cash is not accepted by mail or in person.

After completing and signing the form, and attaching the appropriate payment, mail the package to the Office of Vital Records at the address provided. It's important to include a self-addressed, stamped envelope for the return of the document(s). The processing time can vary, but expect to receive the death certificate within 2-4 weeks under normal circumstances. Expedited service is available in cases of urgent need, subject to providing necessary documentation to substantiate the request.

FAQ

  1. What is the NYC Health VR 66 form used for?

  2. The NYC Health VR 66 form is specifically used to apply for a death certificate in New York City. It collects all necessary information about the deceased, including their name, date of death, place of death, and the applicant's relationship to the deceased. It's a vital document for those needing to prove the death of an individual, for legal, financial, or personal reasons.

  3. Who is eligible to obtain a death certificate?

  4. Eligibility to obtain a death certificate is limited to specific individuals. These include the spouse, domestic partner, parent, child, sibling, grandparent, grandchild of the deceased, or a person who has a lawful right or claim. In cases where the applicant is not directly related to the deceased, documentation establishing the right to obtain the death certificate must be provided.

  5. What are the fees associated with obtaining a death certificate?

  6. The cost of obtaining a death certificate is $15 per copy, which includes a search spanning two consecutive years. An additional fee of $3 applies for each extra year searched beyond the initial two. It's crucial to calculate the total amount correctly and include it with your application to avoid delays.

  7. How can I submit my application for a death certificate?

  8. There are three primary ways to order a death certificate in New York City. First, an online order can be placed at www.nyc.gov/vitalrecords for immediate family members and legal representatives. Alternatively, walk-in service is available at 125 Worth Street, Lower Manhattan, offering a direct way to submit an application. Lastly, mail-in submissions require the application to be notarized and sent alongside a check or money order, a self-addressed stamped envelope, and photocopies of the required ID.

  9. What identification is needed to apply for a death certificate?

  10. Application for a death certificate requires presenting valid, photo ID that includes your signature and has not expired. Acceptable forms of ID include a Driver’s License, IDNYC Municipal ID, Passport, Government ID, or Employment ID with a recent pay stub. If these are not available, alternatives such as inmate photo ID with release papers, utility or telephone bills, or official government mail received within the last 60 days may be accepted. For specific circumstances, or in the absence of these forms of identification, contacting the Office of Vital Records directly is advised.

Common mistakes

Filling out the NYC Health VR 66 form, vital for obtaining a death certificate, often involves careful attention to detail to avoid common pitfalls. Missteps during this process can delay receipt of the document or lead to its outright denial, making an already difficult time even more stressful. Pointing out frequent errors helps ensure the process goes smoothly for those in need.

  1. Not providing clearly printed information can significantly delay the processing of the application. It's crucial the form is legible to avoid any misinterpretations or mistakes in the death certificate.

  2. Incorrect or incomplete date of death information is another common mistake. If the exact date is unknown, providing an estimated time frame helps narrow the search, but omitting this information can stall the process.

  3. Failure to specify the correct number of copies needed can also pose problems. Applicants often underestimate the number of copies they require for various legal and personal matters, leading to the inconvenience of having to submit multiple requests.

  4. Omitting the cause of death request when necessary. If the cause of death is needed for legal or personal reasons, failing to indicate this on the form can result in receiving a document that doesn't meet the applicant's needs.

  5. Forgetting to detail the relationship to the deceased correctly can lead to rejection of the application. Only certain relationships are eligible to receive a death certificate, so accurately stating the relationship is paramount.

  6. Not including the appropriate fee based on the number of copies and years searched can delay processing. The application must be accompanied by the correct amount to ensure the request is processed.

Additionally, a few general observations can further streamline the application process:

  • Always review the entire form before submission to catch any errors or omissions you may have made initially.

  • Ensure all documentary requirements are met, including the identification and proof of relationship, to prevent any delays or denials due to documentation issues.

  • Consider the method of submission carefully. While mail-in applications require notarization, walking in could expedite the process if urgent.

By avoiding these common errors and paying close attention to the form's requirements, applicants can smooth the path to obtaining a death certificate during a challenging time.

Documents used along the form

In dealing with the aftermath of a loved one's passing, individuals might find themselves needing to navigate through various documents and forms, in addition to the NYC Health VR 66 form, which is the death certificate application. This need primarily arises from the requirement to settle the deceased's affairs comprehensively and legally. Below is an overview of four other documents commonly utilized along with the death certificate application, shedding light on their significance and purpose.

  • Will and Testament: This document outlines the deceased's final wishes regarding the distribution of their estate and the guardianship of minor children, if applicable. It is crucial for executing the deceased's wishes accurately and legally.
  • Life Insurance Claim Form: Life insurance policies provide financial benefits to the beneficiaries named by the deceased. The claim form is necessary to initiate the process of disbursing these funds, providing vital financial support during a challenging time.
  • Letters of Administration or Letters Testamentary: These documents are issued by a probate court, giving an individual the authority to act as the executor or administrator of the deceased's estate. They are required for individuals to manage the estate's assets, pay debts, and distribute the remainder to rightful heirs.
  • Often required by law, this document informs the public of the individual's death, typically through a newspaper announcement. It serves a dual purpose: to announce the death to distant friends and relatives, and to notify potential creditors as a part of the estate settlement process.

Effective handling of these documents, alongside the NYC Health VR 66 form, paves the way for a smoother transition through the probate process, ensuring that all legal and financial matters are addressed according to the wishes of the deceased and the law. Whether settling an estate or accessing entitled benefits, the strategic management of these forms is indispensable for those navigating the complexities of posthumous affairs.

Similar forms

The NYC Health VR 66 form, primarily used for accessing death certificates, shares similarities with birth certificate application forms used across various states. Both forms are designed to collect vital information about individuals at critical life events - one at the end of life and the other at the beginning. They typically require the applicant to provide specific details about the individual, such as full name, date and place of birth or death, and parentage or next of kin, respectively. Moreover, both forms enforce stringent access restrictions, ensuring that only persons with a legitimate and documented relationship or need (such as direct family members or legal representatives) can obtain these sensitive documents.

Another document with similarities to the NYC Health VR 66 form is the marriage certificate application form. Like the death certificate form, it is an essential document that records a significant life event. Applicants must provide detailed personal information, including names, ages, and addresses, as well as prove their eligibility to receive the document. Both forms also typically require verification of identity through official documentation and are used within legal and governmental frameworks to assert relationships and assist in legal proceedings, such as inheritance or marital status verification.

Divorce decree requests possess notable parallels to the NYC Health VR 66 form. Both types of documents involve the legal system and require the applicant to demonstrate a legitimate connection to the information being requested. The necessity for detailed personal information and the reason for the request is common to both forms. Additionally, both documents serve critical roles in affirming legal statuses that are pivotal in personal and legal matters, including estate claims and the dissolution of marital unions.

Passport application forms, while primarily for international travel, echo the VR 66 form's need for detailed personal information and proof of relationship for processing. Applicants must provide evidence of their identity and citizenship, akin to how the VR 66 form requires proof of relationship to the deceased. Both forms are gatekeepers to essential rights and services - one granting access to global mobility, the other providing legal documentation for estate and familial rights.

Driver's license renewal forms, though more common and frequent in their use, share the VR 66 form's characteristic of requiring up-to-date personal information and proof of identity. This process ensures that the individual is accurately represented in governmental records, critical for both legal identification purposes and the orderly administration of estates or access to various services and rights.

The Social Security benefits application process necessitates a level of detailed personal and familial information comparable to what is found in the VR 66 form. Applicants must prove their identity and relationship to the Social Security number holder to access benefits. This similarity underlines the importance of accurate and verifiable information in facilitating access to government-provided benefits, including those arising due to death.

Last but not least, professional licensing applications, from medical licenses to legal bar admittance, require stringent background information, identity verification, and sometimes, personal historical data. Like the VR 66 form, these applications serve as critical milestones for professional and legal recognition, demanding high accuracy and truthfulness to ensure the individual's qualifications and rights are appropriately recorded and recognized within public and professional domains.

Dos and Don'ts

When filling out the NYC Health VR 66 form for a death certificate application, there are several do's and don'ts to keep in mind to ensure the process goes smoothly. Here's a guide to help you navigate the completion of this important document:

    Do's:
  • Print Clearly: Make sure to fill out the form legibly, using black ink, to avoid any misunderstanding or processing delays.
  • Check the Boxes That Apply: Carefully review each section and check the appropriate boxes, especially when specifying gender, borough, or whether you need a letter of exemplification.
  • Confirm Relationship Eligibility: Before applying, ensure you are eligible to obtain the death certificate based on your relationship to the deceased as outlined in the form instructions.
  • Include Accurate Contact Information: Provide a reliable daytime phone number and email address so the Office of Vital Records can reach you if there are any questions or issues.
  • Sign the Form in Front of a Notary Public if Mailing: If you're submitting your application by mail, remember to sign the form in the presence of a Notary Public to validate your identity.
  • Don'ts:
  • Don't Use Pencil: Writing in pencil can easily smudge or be altered, leading to potential inaccuracies in your application.
  • Don't Skip Essential Details: Failing to provide crucial information like the date of death or last known address might result in processing delays or rejection of your application.
  • Don't Submit Without Checking Identification (ID) Requirements: Review the ID requirements closely and include photocopies of the acceptable identification to avoid any complications.
  • Don't Forget the Notary Seal: If mailing the application, ensure the notary has affixed their seal next to your signature to confirm the notarization.

Adhering to these guidelines will help ensure your NYC Health VR 66 form is completed accurately and processed efficiently.

Misconceptions

There are several misconceptions regarding the New York City Health VR 66 form, which is the application for a death certificate. These misunderstandings can lead to confusion and potentially hinder the application process. Clarification of these points ensures smoother transactions and proper adherence to procedures.

  • Misconception 1: You can pay with a credit card for mail-in orders. It's not possible to use a credit card for mail-in orders. Payments for these orders must be made through a check or money order payable to the NYC Department of Health and Mental Hygiene. This excludes cash payments by mail or in person and specifies that if the payment is from a foreign country, it must be an international money order or a check drawn on a U.S. bank.

  • Misconception 2: Immediate family members are the only ones who can apply. While it's true that immediate family members such as spouses, domestic partners, parents, children, siblings, grandparents, and grandchildren can apply, there are provisions for others to obtain a death certificate. Individuals who are in control of the disposition (informant) or who can establish a right to the document, such as having a legal or financial claim, can also apply provided they meet documentation requirements.

  • Misconception 3: The cause of death is available to anyone who requests. Access to the cause of death is restricted and can only be provided if the applicant's relationship to the deceased is among those listed: spouse or domestic partner, parent, child, sibling, grandparent, grandchild, or person in legal control of the disposition. This ensures privacy and respects the sensitive nature of such information.

  • Misconception 4: All applications require notarization. Not all applications require notarization. While mail-in applications must be signed in the presence of a Notary Public, this is not a requirement for online applications or in-person submissions. Each method of application has its own set of requirements and procedures.

  • Misconception 5: Identification is not required for the application. Identification is a crucial part of the application process. Applicants must provide a form of identification that includes a photo, signature, and is unexpired. Acceptable forms include a Driver's License, Non-driver's ID Card, Passport, Government ID, or Employment ID with a pay stub. Additional documentation may be required to establish the applicant's right to obtain the death certificate if they are not directly related to the deceased.

Understanding these points clarifies the application process for obtaining a death certificate in New York City, ensuring individuals are better prepared and informed when submitting their VR 66 form.

Key takeaways

Filling out the NYC Health VR 66 form requires attention to detail and understanding the specific needs for requesting a death certificate. Here are some important takeaways to keep in mind:

  1. Clearly print all requested information on the form to avoid delays in processing.
  2. Identify the deceased by providing their full name at the time of death, including specifying their gender.
  3. The date and place of death are critical details; if the exact date is unknown, provide an estimated time frame for the search.
  4. Specify the number of copies needed and whether a Letter of Exemplification is required.
  5. The relationship to the deceased must be clearly outlined, as certain restrictions apply to who can request a death certificate.
  6. Include the reason for the certificate request to ensure compliance with eligibility criteria.
  7. Fees are based on the number of copies requested and the years searched; ensure the correct amount is enclosed with the application.
  8. Applicants must sign the form in the presence of a Notary Public if submitting by mail, affirming the truthfulness and accuracy of the information provided.
  9. The appropriate identification and documentation must accompany your application, based on your relationship to the deceased or your legal standing.
  10. Death certificates can be ordered online, by mail, or in person, but have different requirements for identification and documentation.

It is essential to follow the applicable guidelines and provide all necessary documents to expedite the processing of your request. Misrepresentation or providing false information is a punishable offense, highlighting the importance of accuracy and transparency in the application process. When in doubt, contacting the Office of Vital Records directly can provide clarity and assistance.

Please rate Free Nyc Health Vr 66 Form in PDF Form
4.75
Excellent
240 Votes