Walton, NY · Delaware County

No notary required

Application to Local Registrar for Copy of Birth Record

This application lets a person request a copy of a birth record from the local registrar by providing birth details, applicant information, and identification.

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 applicant’s relationship to that person, the purpose for the record, and the number of copies requested. The application must include copies of either one valid photo ID or two documents showing the applicant’s name and address; notarized authorization is required for some requests.

Who needs it

Anyone requesting a birth record copy from the local registrar needs this application and must provide the identification listed on the form.

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; if the requester is not a child or parent named on the certificate, notarized authorization is required.

How to submit this form

  1. 1

    Download The Application

    Download the birth record copy application.

  2. 2

    Complete The Application

    Enter the requested birth, applicant, relationship, purpose, and copy-count details; sign and date the application.

  3. 3

    Gather Identification

    Include copies of one valid photo ID or two documents showing your name and address.

  4. 4

    Submit To The Local Registrar

    Submit the application and identification 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 is signed and dated without a notary. If the requester is not a child or parent named on the certificate, notarized authorization is required.
How do I submit the birth record application?
Submit it to the city department named on the form; check the city website for current contact details.
What identification must I include?
Include copies of either one valid photo ID or two documents showing your name and address. The form lists examples of acceptable documents.
What information does the application ask for?
It requests the name and birth details of the person on the record, the applicant’s relationship and contact information, the purpose, and the number of copies.

Need something notarized?

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