Chazy, NY · Clinton County
Application to Local Registrar for Copy of Birth Record
This application lets a person request a copy of a birth record from a local registrar by providing birth details, requester information, and identification.
What this form is
Use this application to request a copy of a birth record from a local registrar. It asks for the person's name and birth details, the requester's relationship and contact information, the number of copies, and the purpose of the request. Submit copies of the identification listed on the form; it also states fees for certified copies or a No Record Certification.
Who needs it
A person requesting a birth record copy from a local registrar needs this application and must provide the identification described on the form.
How to submit it
Submit it to the local registrar named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; notarized authorization is required if the requester is not the child or a parent named on the certificate.
How to submit this form
- 1
Download The Application
Download the birth record copy application PDF.
- 2
Complete The Application
Fill in the birth details, number of copies, request purpose, relationship to the person, and your contact information; sign and date it.
- 3
Gather Identification
Attach copies of either one valid photo ID listed on the form or two listed documents showing your name and address.
- 4
Submit To The Local Registrar
Submit the application and identification copies to the local registrar 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 is signed and dated without a notary. Notarized authorization is required if the requester is not the child or a parent named on the certificate.
- How do I submit the birth record copy application?
- Submit it to the local registrar named on the form. The form does not give submission contact details, so check the city website for current information.
- What identification must I include?
- Include copies of either one valid photo ID listed on the form or two listed documents showing your name and address. The form also notes a passport-copy requirement for certain requests from foreign countries.
Need something notarized?
This Application to Local Registrar for Copy of Birth Record doesn’t need a notary — but if you have another Chazy form that does, a commissioned online notary can help.