Clay County, IL · Clay County

No notary required

Application for Search of Birth Record

This application lets an eligible person request a certified or genealogical copy of a birth record from the Clay County Clerk.

At a glance

Issued by
City of Clay County · Clay County, Clay County, Illinois
Notarization
Not required: file this form without a notary.
Official source
claycounty.illinois.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Use this application to request a search for a birth record, provided the birth occurred in Clay County. It asks for the name and birth details on the record, parents’ names, copy type and quantity, payment amount, applicant information, relationship to the person of record, and intended use. A photocopy of a driver’s license or state-issued photo ID is required.

Who needs it

A person seeking their own birth record, or a parent, guardian, or legal representative seeking a record they are legally entitled to request, can use this application.

How to submit it

Send the completed application, a photocopy of your driver’s license or state-issued photo ID, and payment to the Clay County Clerk, P.O. Box 160, Louisville, IL 62858. Make a check or money order payable to Clay County Clerk.

About notarization

This application is signed without a notary; the applicant signs the form, and it requests no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download the Application

    Download the birth record search application PDF.

  2. 2

    Complete the Application

    Enter the record details, requested copy type and quantity, applicant information, relationship, and intended use.

  3. 3

    Gather Required Items

    Include a photocopy of your driver’s license or state-issued photo ID and payment by check or money order.

  4. 4

    Send It to the County Clerk

    Mail the application and required items to the Clay County Clerk, P.O. Box 160, Louisville, IL 62858.

Frequently asked questions

Do I need a notary for the birth record search application?
No. The application is signed without a notary and requests no notarized attachment or sworn step. Include the required photocopy of your driver’s license or state-issued photo ID.
How do I submit the birth record search application?
Send the completed application, required photocopy of your driver’s license or state-issued photo ID, and payment to the Clay County Clerk at P.O. Box 160, Louisville, IL 62858. Make checks or money orders payable to Clay County Clerk.
What information does the application ask for?
It asks for the name and birth details on the record, parents’ names, the number and type of copies requested, applicant contact information, relationship to the person of record, and intended use.
What is required with the application?
The form states that a photocopy of your driver’s license or state-issued photo ID is required. Include payment by check or money order payable to Clay County Clerk.

Need something notarized?

This Application for Search of Birth Record doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.