The Mount Pleasant Town Clerk maintains a permanent record of all Births and Deaths that have occurred at Westchester Medical Center (formerly Grasslands Hospital) or within the Town, as well as Marriage records for those who obtained their marriage license from the Town of Mount Pleasant, regardless of where the marriage ceremony occurred. The Town Clerk’s Office strictly adheres to New York State law when processing, handling, and issuing these records.
Below are instructions for ordering certified copies of a family member’s vital records for the purpose of verifying lineage to obtain dual citizenship.
Requirements
Access to certified copies of Vital Records in New York State is restricted by Public Health Law Section 4174, Section 4139 and Domestic Relations Law Section 20.
Parent, Grandparent, or Great-Grandparent’s Birth Record
- Still LivingMust request their own birth record.
- DeceasedA court order from a New York State Court of competent jurisdiction is required. We cannot advise you on obtaining a court order. The applicant must submit a court certified copy of the order along with a copy of the applicant’s identification, the appropriate fee, and a birth record application .
Grandparent or Great-Grandparent’s Death Record
Applicant must submit a death record application, completed and notarized Affidavit to Request Copy of Death Record (DOH-5001) (PDF), documentation of relationship, and copy of his/her identification.
To request a Parent’s death record, see the Vital Records page.
Parents, Grandparents, or Great-Grandparents’ Marriage Record
- Still LivingIf either party to the marriage is still living, they must request their own marriage record.
- Both DeceasedApplicant must include a marriage record application , copies of the death records, a copy of applicant’s identification, documentation of relationship, and a completed and notarized Affidavit to Request Certified Copy of Marriage Record (DOH-5000) (PDF) .
Documentation of Relationship
Uncertified copies of birth, death, or marriage certificates showing relationship to the person are sufficient. We may also accept other types of documentation such as copies of official records from a religious body (e.g., baptismal or other records). We cannot approve your documentation in advance of your application. You must submit the documentation you have and we will contact you if it is not sufficient.
Fee
$10 per copy.
Related Documents
- FILEAffidavit to Request Certified Copy of Death Record (DOH-5001)
- FILEAffidavit to Request Certified Copy of Marriage Record (DOH-5000)
- PDFApostille/Certificate of Authentication Request Form (DOS-1917-f)
Contact Us
Contact Town Clerk
Physical Address One Town Hall Plaza Valhalla , NY 10595
Directions
Phone: 914-742-2312
Fax: 914-747-6172
Hours Monday through Friday 8:30 am to 4:30 pm