Deposit, NY · Delaware County
Copy of Birth Record
This application lets a person request a certified copy of a birth record or a no-record certification from the local registrar.
What this form is
Use this New York State Department of Health application to request a certified copy of a birth record or a no-record certification. It asks for the person’s name and birth details, the applicant’s relationship and contact information, the number of copies, and the purpose of the request. The form also lists identification requirements and states that notarized authorization is required for requests from someone other than the child or named parents.
Who needs it
Anyone requesting a copy of a birth record or no-record certification through the local registrar should complete this application and provide the required identification.
How to submit it
Submit the application to the local registrar with copies of the required identification and the applicable fee shown on the form: $30 for county districts or $10 for other districts per certified copy or no-record certification.
About notarization
This application is signed without notarization; requests from someone other than the named child or parents require notarized authorization.
How to submit this form
- 1
Download The Application
Download the Copy of Birth Record application PDF.
- 2
Complete The Application
Enter the requested birth details, applicant information, relationship, purpose, and number of copies.
- 3
Gather Identification
Include copies of either one qualifying photo ID or two listed documents showing your name and address.
- 4
Submit To The Local Registrar
Send the application, required identification, and applicable fee to the local registrar.
Frequently asked questions
- Do I need a notary for the Copy of Birth Record application?
- No; the application itself is signed without notarization. If someone other than the named child or parents requests the record, the form requires notarized authorization.
- How do I submit the Copy of Birth Record application?
- Submit it to the local registrar with copies of the required identification and the applicable fee listed on the form.
- What identification must I provide?
- Include either one valid photo ID from the form’s list or two listed documents showing your name and address.
- What fee does the form list?
- The form lists $30 for county districts or $10 for other districts per certified copy or no-record certification.
Need something notarized?
This Copy of Birth Record doesn’t need a notary — but if you have another Deposit form that does, a commissioned online notary can help.