Death Record Application

The Registrar's Office issues and maintains death certificates for unincorporated communities only. Villages have their own clerk and vital record offices. Facilities under Hempstead Town's jurisdiction are:

  • LIJ Valley Stream, formerly Franklin General Hospital and Franklin Hospital Medical Center in North Valley Stream
  • * Mercy Hospital in Rockville Centre (partial records maintained by Hempstead Town)
  • Mitchel Air Force Base in Uniondale
  • Mount Sinai South Nassau in Oceanside, formerly South Nassau Communities Hospital
  • Nassau University Medical Center in East Meadow, formerly Meadowbrook Hospital and Nassau County Medical Center
  • Any address within the unincorporated communities in the Town of Hempstead
  • Skilled nursing and rehab centers, as well as assisted living facilities within the unincorporated areas of the Town of Hempstead

*This Office maintains some records for Mercy Hospital including records prior to August 1931 and records from February 24, 1941 to October 2, 1941. All Mercy Hospital records from October 2, 1941, to the present are filed with the Village of Rockville Centre Registrar. For further information, you may contact that office at 516-678-9258 or visit the office at:
Rockville Centre Village Hall    1 College Place  Rockville Centre, New York 11570

Requests 

Death records may be requested by the immediate family:

  • Surviving spouse (if listed on the death certificate)
  • Parents of the deceased
  • Child
  • Siblings of the deceased

In person requests

Applicants should bring the following to the Town Clerk's office:

  • A completed application
  • Valid Government ID
  • *Proof of relationship ( If applicable )
  • Proof of a legal/medical need is required for all applicants requesting death records for that purpose.  ( If applicable ) 
  • The appropriate fee  - $10 fee per certified copy

Mail requests

Applicants must send the following:

  • A completed application
  • Valid Government ID *( Address on ID should match mailing address, if different please include proof of address )  
  • *Proof of relationship ( If applicable )
  • Proof of a legal/medical need is required for all applicants requesting death records for that purpose.  ( If applicable ) 
  • The appropriate fee  - $10 fee per certified copy                                                                                                                                           

Mail to : Registrar, Town of Hempstead 1 Washington Street Hempstead, NY 11550

*Acceptable proof of relationship, For a child or sibling: birth certificate or long-form marriage record indicating parent’s names, with a government-issued ID.

Forms of ID

For parents or surviving spouses:  Government-issued identification or passport. 

Fee

There is a $10 fee per certified copy of a death certificate. Acceptable forms of payment include cash, money order, local check, or credit card ($1.50 service charge when paying in person). Please make checks or money orders payable to Hempstead Town Clerk.

If you have any questions or concerns, please do not hesitate to contact a member of our staff.

Please Note: As the Town of Hempstead Registrar's Office is a local registrar, the fee is $10 per certified copy.