Who can use this application?

The application provides options for an applicant requesting their own record, a parent, or another person. It also asks applicants to state their relationship to the person whose record is requested.

How do I submit the birth record application in Burke?

The form says to submit the application to the Town Clerk. It also instructs applicants to attach a photocopy of acceptable identification and says a copy is not issued without acceptable ID.

Do I need a notary for the birth record copy application?

No. This application is signed and dated without a notary; the form lists no notarized or sworn attachment.

Burke, NY · Franklin 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 through Burke’s Town Clerk by providing birth details, applicant information, and identification.

What this form is

This New York State application is for requesting a copy of a birth record from the local registrar. It asks for the person’s birth details, the applicant’s contact information and relationship to the person, the number of copies requested, and the purpose for the record. The form directs applicants to submit it to the Town Clerk and attach a photocopy of acceptable identification; it says not to issue a copy without acceptable ID.

Who needs it

A person requesting a copy of a birth record through the local registrar, including an applicant requesting their own record or someone else’s.

How to submit it

Submit the completed application to the Town Clerk, as directed on the form. Attach a photocopy of one acceptable identification type; the form says a copy is not issued without acceptable ID.

About notarization

This application is signed and dated without a notary; the form asks for a signature and date and lists no notarized or sworn attachment.

How to submit this form

1
Download the Application
Download the birth record copy application.
2
Complete the Application
Fill in the birth details, applicant information, requested number of copies, and purpose for the record.
3
Gather Identification
Photocopy and attach one identification type listed as acceptable on the form.
4
Submit to the Town Clerk
Submit the completed application and identification photocopy to the Town Clerk.

Frequently asked questions

What does the birth record copy application ask for?: It asks for birth details, applicant information and relationship, the number of copies requested, and the purpose for the record. It also has fields for the applicant’s signature and date.
Who can use this application?: The application provides options for an applicant requesting their own record, a parent, or another person. It also asks applicants to state their relationship to the person whose record is requested.
How do I submit the birth record application in Burke?: The form says to submit the application to the Town Clerk. It also instructs applicants to attach a photocopy of acceptable identification and says a copy is not issued without acceptable ID.
Do I need a notary for the birth record copy application?: No. This application is signed and dated without a notary; the form lists no notarized or sworn attachment.

Need something notarized?

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