Burke, NY · Franklin County
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 and submit the request to the Town Clerk.
At a glance
- Issued by
- City of Burke · Burke, Franklin County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- burkeny.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request a copy of a birth record. It asks for the person’s birth details, the applicant’s relationship and contact information, the number of copies, and the purpose of the request; submit it to the Town Clerk. The form also instructs applicants to provide a photocopy of acceptable identification.
Who needs it
A person requesting a birth record copy should complete this application and provide the identification listed on its second page.
How to submit it
Submit the completed application to the Town Clerk. The form says to photocopy and attach acceptable identification, but gives no address, email, portal, or fee information.
About notarization
This document is signed and dated without a notary; the form asks the applicant to sign and date it, with no sworn or notarized attachment specified.
How to submit this form
- 1
Download the Application
Download the fillable application for a copy of a birth record.
- 2
Complete the Form
Enter the birth details, requested number of copies, purpose, and applicant information.
- 3
Gather Identification
Photocopy and attach one of the acceptable identification types listed on the second page.
- 4
Submit to the Town Clerk
Sign and date the application, then submit it to the Town Clerk.
Frequently asked questions
- Do I need a notary for this birth record application?
- No. The applicant signs and dates this application; it does not specify a sworn or notarized attachment.
- How do I submit the birth record application?
- Submit the completed application to the Town Clerk. The form provides no submission address or other contact details.
- What identification should I include?
- Attach a photocopy of an acceptable ID, such as a driver’s license, passport, military ID, or two utility bills showing your name and address.
- What information does the application ask for?
- It asks for birth and parent details, the number of copies requested, the purpose, and the applicant’s contact information, relationship, signature, and date.