What information does the birth certificate application request?

It asks for the person’s birth details, parents’ names, number of copies and request purpose, along with the applicant’s relationship, contact information and identification details.

What identification should I provide?

The form lists a driver’s license, non-driver’s license, passport, naturalization papers, military ID, employer photo ID, two utility bills showing your name and address, or a police report of lost or stolen ID.

Do I need a notary for the birth certificate application?

No. The application is signed and dated without a notary, and it lists no sworn or notarized attachment.

Elizabethtown, NY · Essex County

No notary required

Birth Certificate Application

This application is for people requesting a copy of a birth record from the local registrar in Elizabethtown.

What this form is

Use this application to request a copy of a birth record. It asks for the person’s name, date and place of birth, parents’ names, the number of copies requested, and the purpose of the request. The applicant also provides their relationship to the person, contact and identification details, and a signature. The form lists acceptable identification and says a copy will not be issued without one of the listed types.

Who needs it

Anyone requesting a copy of a birth record should complete the application and provide 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 and dated without a notary; it lists no sworn or notarized attachment.

How to submit this form

1
Download The Application
Download the birth certificate application PDF.
2
Complete The Application
Enter the birth record details, request purpose, applicant information and signature.
3
Gather Identification
Provide one of the identification types listed on page two.
4
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What information does the birth certificate application request?: It asks for the person’s birth details, parents’ names, number of copies and request purpose, along with the applicant’s relationship, contact information and identification details.
What identification should I provide?: The form lists a driver’s license, non-driver’s license, passport, naturalization papers, military ID, employer photo ID, two utility bills showing your name and address, or a police report of lost or stolen ID.
Do I need a notary for the birth certificate application?: No. The application is signed and dated without a notary, and it lists no sworn or notarized attachment.
How do I submit the birth certificate application?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Birth Certificate Application doesn’t need a notary — but if you have another Elizabethtown form that does, a commissioned online notary can help.