LaGrange, NY · Dutchess County
Mail-In Vital Record Transcript Request Affidavit
This affidavit supports a mail-in request for a vital record transcript and is completed and filed by the applicant with the required application and supporting documentation.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The affidavit lets the applicant swear that the matters stated in the attached documents are true and correct to the best of their knowledge. The form says it must accompany the appropriate vital record application and supporting documentation for processing. Applicants should refer to the Town Clerk’s website for guidance on the application and required documents before submitting the packet.
Who needs it
An applicant making a mail-in vital record transcript request should submit this affidavit with the appropriate application and supporting documentation.
Why it needs a notary
The applicant signs as the affiant and swears to the statement before a notary, who completes the sworn-and-subscribed block and adds a seal.
How to get this notarized
- 1
Download the Affidavit
Get the Mail-In Vital Record Transcript Request Affidavit from the Town Clerk’s website.
- 2
Complete the Form
Fill in the applicant and affidavit details, and prepare the appropriate application and supporting documentation.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary.
- 4
Sign on Video
Sign the affidavit during the live video session when directed by the notary.
- 5
Submit to the Town
Include the notarized affidavit with the application and supporting documentation for processing.
Preview the form
The blank PDF straight from LaGrange. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit the affidavit?
- Complete and sign the affidavit before a notary, then include it with the appropriate vital record application and supporting documentation. Refer to the Town Clerk’s website for guidance.
- Do I need to sign this affidavit in front of a notary?
- Yes. The form includes a sworn-and-subscribed block for the applicant to sign before a notary, who completes the notarial section and adds a seal.
- Can I use a commissioned online notary?
- New York authorizes remote online notarization by a commissioned online notary. You can sign during a live video session; check that your completed packet meets the Town Clerk’s submission instructions.
- What documents must accompany this affidavit?
- The form says to include the appropriate vital record application and supporting documentation. Refer to the Town Clerk’s website for guidance, and confirm with the city, town or village if unsure.