Life Records Order Form - Rochester Public Library

Name*
First Last
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Records Requested*
Please provide full name, date, and type of record you are requesting (birth, marriage, or death announcement). We cannot fulfill requests without this information. Thank you!
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How would you like to receive your records?*
- Email
- Mail
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