Harrietstown, NY · Franklin County

No notary required

General Information and Application for Genealogical Services

This application lets people request genealogical birth, death, or marriage records from the New York State Department of Health Vital Records Section.

At a glance

Issued by
City of Harrietstown · Harrietstown, Franklin County, New York
Notarization
Not required: file this form without a notary.
Official source
cdn.townweb.com
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Use this application for genealogy requests for birth, death, or marriage records held by the New York State Department of Health. It asks for information about each person and record requested, your purpose and relationship, your contact details, and where to send the record. The form also describes search fees and documentation requirements, including proof of direct-line descent when applicable.

Who needs it

People seeking genealogical records from the New York State Department of Health should complete this application and provide any required supporting documentation.

How to submit it

Mail the signed application, check or money order, and copies of required documentation to the New York State Department of Health Vital Records Section, Certification Unit, P.O. Box 2602, Albany, NY 12220-2602.

About notarization

This document is signed without a notary; the applicant signs and dates the application and, when requesting birth and marriage records, signs the additional statement.

How to submit this form

  1. 1

    Download The Application

    Download the Genealogical Services Application PDF.

  2. 2

    Complete The Applicable Sections

    Provide the requested information for each birth, death, or marriage record and complete the applicant and mailing details.

  3. 3

    Gather Payment And Documentation

    Include a check or money order and copies of any required documentation.

  4. 4

    Sign And Mail The Application

    Sign and date the application, then mail it with payment and documentation to the address shown on the form.

Frequently asked questions

Do I need a notary for the Genealogical Services Application?
No. The application does not require notarization; the applicant signs and dates it and signs an additional statement when requesting birth and marriage records.
How do I submit the Genealogical Services Application?
Mail the signed application, payment by check or money order, and copies of required documentation to the New York State Department of Health Vital Records Section at the address on the form.
What records can I request with this application?
The application has sections for genealogical birth, death, and marriage record requests.
What information does the application ask for?
It asks for details about the requested record and person, your purpose and relationship, your contact information, and the name and address where the record should be sent.

Need something notarized?

This General Information and Application for Genealogical Services doesn’t need a notary, but if you have another Harrietstown form that does, a commissioned online notary can help.