Virgil, NY · Cortland County

No notary required

Application for Copy of Birth Record

This application lets a person request a copy of a birth record from the local registrar and provide details about the birth and reason for the request.

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 and birth details, the number of copies requested, the purpose of the request, and the applicant’s relationship to that person. The applicant also provides contact information, signs and dates the application, and presents an accepted form of identification.

Who needs it

A person requesting a copy of a birth record from the local registrar completes this application and presents one of the listed types of 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 application is signed without a notary; the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the application for a copy of a birth record.

  2. 2

    Complete The Application

    Enter the birth details, number of copies, purpose, relationship to the person, and your contact information.

  3. 3

    Gather Identification

    Present one of the identification types listed on the form.

  4. 4

    Sign And Submit

    Sign and date the application, then submit it to the local registrar. Check the city website for current contact details.

Frequently asked questions

Do I need a notary for the birth record application?
No. This application is signed without a notary; the signer just signs and dates it.
How do I submit the birth record application?
The form is an application to the local registrar, but it does not list a submission address or contact details. Check the city website for current submission information.
What information does the application ask for?
It asks for the person’s name and birth details, the number of copies requested, the purpose, the applicant’s relationship to the person, and the applicant’s contact information and signature.
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.

Need something notarized?

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