New Berlin, NY · Chenango County
Application for Copy of Birth Record
This application requests a copy of a birth record from the local registrar and is completed by the person requesting the record.
What this form is
Use this application to request a copy of a birth record from the local registrar. It asks for the person’s name, date and place of birth, parents’ names, the number of copies requested, the purpose of the request, and the applicant’s relationship to the person. The form also requests applicant contact and identification details.
Who needs it
A person requesting a copy of a birth record completes the application and provides acceptable identification.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; the form lists no notarized attachment or sworn step.
How to submit this form
- 1
Download The Application
Download the birth record copy application PDF.
- 2
Complete The Form
Enter the requested birth, parent, purpose, relationship, contact, and identification information.
- 3
Gather Identification
Attach a photocopy of identification; the form lists acceptable identification types and says not to issue a copy unless one is presented.
- 4
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the birth record application?
- No. The application is signed and dated without a notary, and it lists no notarized attachment or sworn step.
- How do I submit the birth record application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application request?
- It asks for birth and parent details, the number of copies requested, the purpose, the applicant’s relationship to the person, and applicant contact and identification details.
- What identification does the form list?
- The form lists a driver’s license, non-driver’s license, passport, naturalization papers, military ID, employer photo ID, two utility bills showing the applicant’s name and address, or a police report of lost or stolen ID.