Holland, NY · Erie County
Application to Local Registrar for Copy of Birth Record
This application lets a person request a copy of a birth record from a local registrar by providing birth details, the reason for the request, and applicant information.
What this form is
Use this application to request a copy of a birth record from a local registrar. It asks for the person's name, date and place of birth, number of copies requested, purpose, and the applicant's relationship and contact details. The form also says an acceptable type of identification must be presented before a copy is issued.
Who needs it
A person requesting a copy of a birth record from a local registrar should complete this application and present 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 document is signed without a notary; the applicant just signs and dates it, and the form requires acceptable identification to be presented.
How to submit this form
- 1
Download the Application
Download the application for a copy of a birth record.
- 2
Complete the Application
Enter the birth details, purpose, applicant relationship, contact information, and sign and date the form.
- 3
Gather Identification
Prepare one of the acceptable types of identification listed on the form; it says a copy will not be issued unless identification is presented.
- 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 document has an applicant signature and date line but no notary block; the applicant signs and dates it. It requires acceptable identification to be presented.
- How do I submit the birth record copy application?
- The document does not give submission instructions or contact details. 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 birth details, number of copies requested, purpose of the record, applicant relationship and contact information, and the applicant's signature and date.
- What identification does the form list?
- The form lists a driver's or 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 to Local Registrar for Copy of Birth Record doesn’t need a notary — but if you have another Holland form that does, a commissioned online notary can help.