Harrietstown, 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 for the Village of Saranac Lake.
What this form is
Use this application to request a copy of a birth record from the local registrar. It asks for the person’s birth details, the number of copies requested, and the purpose for the record, along with the applicant’s contact information, relationship, signature, and date. The form also lists a $10 fee per copy and asks the registrar to photocopy and attach identification.
Who needs it
A person requesting a copy of a birth record from the local registrar should complete this application.
How to submit it
Submit the application to the Village of Saranac Lake, 39 Main Street, Suite 9, Saranac Lake, NY 12983. The form lists a $10 fee per copy, payable by check or money order made out to the Village of Saranac Lake.
About notarization
This application is signed without a notary; the applicant signs and dates it, and the registrar photocopies and attaches identification.
How to submit this form
- 1
Download The Application
Download the birth record copy application PDF.
- 2
Complete The Form
Enter the birth and applicant information, requested number of copies, and purpose for the record.
- 3
Prepare The Fee
The form lists a $10 fee per copy, payable by check or money order made out to the Village of Saranac Lake.
- 4
Submit The Application
Send the application to the Village of Saranac Lake, 39 Main Street, Suite 9, Saranac Lake, NY 12983.
Frequently asked questions
- Do I need a notary for this birth record application?
- No. The applicant signs and dates the application without a notary. The form instructs the registrar to photocopy and attach identification.
- How do I submit the birth record application?
- Submit it to the Village of Saranac Lake at 39 Main Street, Suite 9, Saranac Lake, NY 12983. The form lists a $10 fee per copy, payable by check or money order to the village.
- What information does the application ask for?
- It asks for birth details, the number of copies requested, the purpose for the record, and the applicant’s name, relationship, telephone number, address, signature, and date.
Need something notarized?
This Application to Local Registrar for Copy of Birth Record doesn’t need a notary — but if you have another Harrietstown form that does, a commissioned online notary can help.