Norwich, NY · Chenango County
Application to Local Registrar for Copy of Birth Record
This application requests a copy of a birth record and is completed by the person seeking the record or someone applying on their behalf.
What this form is
Use this application to request a copy of a birth record from the local registrar. It asks for birth and parent information, the number of copies requested, the purpose of the request, and the applicant’s contact and relationship details. The form says a copy should not be issued unless the applicant presents one of the listed types of identification.
Who needs it
A person requesting a birth record copy, or an attorney applying for a client, can complete this form with the requested information.
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 application is signed and dated without a notary; attach a photocopy of identification, as the form directs.
How to submit this form
- 1
Download The Application
Download the birth record copy application.
- 2
Complete The Form
Fill in the certificate and applicant information, including the purpose and number of copies requested.
- 3
Attach Identification
Photocopy and attach one of the identification types listed on the form.
- 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 copy application?
- No. The application has a signature and date field but no notary block. Attach a photocopy of identification, as the form directs.
- How do I submit the birth record copy application?
- The form does not provide submission contact details. Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application ask for?
- It asks for birth and parent details, the number of copies requested, the purpose of the request, and the applicant’s contact information and relationship to the person named.
- What identification is listed on the form?
- The form lists a driver’s license, non-driver’s license, passport, naturalization papers, military ID, employer photo ID, two utility bills, or a police report of lost or stolen ID.