Death Record Application

The Office of Vital Records issues and maintains death records that took place within the Village of Hempstead. Facilities under the Village of Hempstead jurisdiction are: 

  • Hempstead General Hospital 
  • Nassau Extended Care Facility 1 Greenwich Street | Hempstead, NY 11550
  • Mayfair Care Center 100 Baldwin Road | Hempstead, NY 11550
  • Hempstead Park Nursing Home 800 Front Street | Hempstead, NY 11550
  • Island Assisted Living 820 Front Street | Hempstead, NY 11550
  • Mercy Hospital in Rockville Centre (partial records maintained by Village of Hempstead from 1931 to 1941)

Request for vital records via fax or email are NOT accepted.

Death Certificates May Be Requested By The Following

  • The surviving spouse (if listed on death certificate), parent, child or sibling of the deceased
  • Other people who have a:
    • documented lawful right or claim
    • documented medical need
    • New York State Court Order issued on a showing of necessity for the confidential medical information
  • To the lawful representative of the spouse, parent or child of the deceased
  • To a municipal, state or federal agency when needed for official purposes 

If you are not the spouse, parent, child or sibling of the deceased you must document a lawful right or claim. For example, you may need a death certificate to claim a benefit. You would need an official letter from the agency saying you need the death record to process the claim.

Death Certificate Request by Attorneys

Attorney's must represent someone who is authorized to obtain the death certificate. Please submit all of the following to the Office of Vital Records:

  1. An original letter from the attorney on the attorney's letterhead stating the reason for request.
  2. Death Record Application (PDF) completed and signed by the attorney.
  3. An original letter from the entitled party signed, dated and notarized granting the attorney permission to act on their behalf. 
  4. A copy of the front and back of the entitled party’s valid, unexpired, photo-ID. 
  5. Proof that you are an attorney licensed to practice, such as a printout of your attorney number from the New York Unified Court’ System’s Attorney Online Services – Search.
  6. Entitled party's proof of relationship to the decedent (ex. Birth certificate, Marriage Certificate) (if applicable)
  7. Appropriate fee (Please see Payment of Fees)

In-person requests 

Applicants should bring the following to the Village of Hempstead Office of Vital Records: 

  1. Completed Death Record Application (PDF) (must include hand written signature)
  2. Proper identification (Valid photo-ID) (For more information see Types of Acceptable Identification)
  3. Proof of relationship to the decedent (ex. Birth certificate, Marriage Certificate)
  4. Appropriate fee (Cash and Credit payments are acceptable when requests are made in-person)

Mail Requests 

If requesting a death certificate by mail, applicants should provide the following:

  1. Completed Death Record Application (PDF) (must include hand written signature)
  2. Proper identification (Valid photo-ID) (For more information see Types of Acceptable Identification) 
  3. Proof of relationship to the decedent (ex. Birth certificate, Marriage Certificate)
  4. Appropriate fee (Do Not Send Cash and/or Credit/Debit Card. Please send check or money order made payable to the Village of Hempstead. For more information see Payment of Fees Section)

Mail to: 

Incorporated Village of Hempstead

99 James A Garner Way

Hempstead, NY 11550

Attn: Vital Records

Third Party Pickup

We do not encourage third party pickups. If you are unable to come to our office yourself, we recommend that you order your certificate by mail. More information about third party pickup.

Types of Acceptable Identification

A. One of the following forms of valid photo-ID

  • Driver’s License 
  • State-issued, nondriver photo-ID card 
  • Passport 
  • U.S. Military-issued, photo-ID

                                                 OR

B. Two of the following showing the applicant's name and address:

  • Utility (ex: Gas, Electric, Cable) or telephone bill
  • Letter from a government agency dated within the last six months

Please do not send in original ID documents, only copies are required. Please make sure the copy is legible. 

Important Note -- Failure to include necessary identification will result in the denial of your application. 

Payment of Fees 

Certified copies of Death Certificates are available for a fee of $10.00 per copy.

Acceptable forms of payment include:

  • Personal Check or Certified Check
  • Money Order 
  • Cash 
  • Credit/Debit 

If submitting check or money order, please make payable to the Incorporated Village of Hempstead or simply, Village of Hempstead.

Please Note -- Cash and Credit/Debit are only acceptable if applicant makes an in-person request at the Village Hall. 

Additional Information

This office ONLY maintains deaths that took place in the Village of Hempstead. WE DO NOT keep records for deaths that took place at Nassau University Medical Center (also known as NuHealth or NUMC), Mount Sinai South Nassau in Oceanside, LIJ Valley Stream (also known as Franklin Hospital Medical Center in North Valley Stream), Mitchel Air Force Base and NYU Langone Hospital - Long Island (formerly known as Winthrop-University Hospital in Mineola). 

Copies of Death Certificates may be ordered directly from the New York State Department of Health, Vital Records Section. You may contact New York State Vital Records by email at vr@health.ny.gov or by telephone, toll-free, at 1-855-322-1022.

New York City Records - New York County (Manhattan), Kings County (Brooklyn), Bronx County (The Bronx), Richmond County (Staten Island), and Queens County (Queens), contact: New York City Department of Health and Mental Hygiene.

Death certificates are maintained by the municipality in which the event took place: the towns, cities, and the incorporated villages. To assist you in locating the appropriate village, town, or city responsible for maintaining your records please visit Nassau County Vital Records.

Questions and Comments

If you have questions or comments you may contact The Office of Vital Records at 516-478-6201 or 516-478-6436.

Freedom of Information (FOIL)

Please note that Death Certificates and the indexes related to Death Certificates are NOT subject to the provisions of the Freedom of Information Law (FOIL) and are NOT open to public inspection. For more information, please visit the following links.

Contact Us

Office of Vital Records 

Physical Address 
99 James A. Garner Way
HempsteadNY 11550

Directory

  1. Ashley Zeigler-Fletcher

    Registrar
    Phone: During Business Hours:                     516-478-6201
    Additional Phone: After Business Hours:        516-351-3189
  2. Stephany Braxton

    Deputy Registrar
    Phone: During Business Hours:                     516-478-6202
    Additional Phone: After Business Hours:          516-984-9534
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