Individual Record Request Form

To request an individual record, fill in the form below, being sure to complete all the required fields as indicated by a red asterisk (*). Print the form using the Print button at the bottom of the form or your browser's print button. Mail the completed form along with payment to the address listed below.

The cost for the individual record request is $15. Checks or money orders must be made payable to Westchester County Archives. Unfortunately, we are not able to accept payment by credit card.

Important: Payment must be received before we begin working on your request.

Send the printed request form and payment to:
Archives Reference Desk
Westchester County Archives
2199 Saw Mill River Road
Elmsford, NY 10523

Individual Record Request Form

Please enter your first name
Please enter your last name

Mailing Address

Please enter your street address
Please enter your state
Invalid Input
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Please enter your city
Please enter your zip code
Please enter your phone number

Information about record to be received:

Please enter a valid archive or marriage certificate number
Invalid Input
Please enter a last name for the record reference
Please enter a first name for the record reference
Invalid Input
Invalid Input