Philmont, NY · Columbia County

No notary required

Application to Local Registrar for Copy of Birth Record

This application requests a copy of a birth record and collects birth details and information about the person making the request.

What this form is

This application requests a copy of a birth record from a local registrar. It asks for the subject’s identifying and birth details, parents’ names, number of copies, reason for the request, and applicant contact, relationship, identification, signature, and date. The form includes a registrar-use section for recording ID information and asks for a photocopy of identification to be attached.

Who needs it

Anyone requesting a copy of a birth record from a local registrar can use this application to provide the required birth and applicant 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; the registrar section requests a photocopy of ID attached, and no sworn or notarized step is stated.

How to submit this form

  1. 1

    Download The Application

    Download the birth record copy application PDF.

  2. 2

    Complete The Form

    Enter the birth details, requested number of copies, purpose, and applicant information.

  3. 3

    Gather Identification

    Prepare a photocopy of identification to attach, as directed in the registrar-use section.

  4. 4

    Submit To The City

    Submit the application 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 asks the applicant to sign and date it without a notary. It also requests a photocopy of identification; no sworn or notarized step is stated.
How do I submit the birth record copy application?
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 the person’s name, date and place of birth, parents’ names, number of copies, purpose, and applicant details including relationship, contact information, signature, and date.
Does the form ask for identification?
Yes. The registrar-use section lists identification details and instructs the registrar to photocopy ID and attach it to the application.

Need something notarized?

This Application to Local Registrar for Copy of Birth Record doesn’t need a notary — but if you have another Philmont form that does, a commissioned online notary can help.