Malone, NY · Franklin County
Birth Record Request Form
This form lets an applicant request a copy of a birth record from the Local Registrar's Vital Records Section.
What this form is
Use this New York State Department of Health form to request a copy of a birth record. It asks for the person's name, date and place of birth, the applicant's relationship and purpose, and the number of copies requested. The applicant must provide identification: the form lists acceptable ID types and says a copy will not be issued unless acceptable identification is presented.
Who needs it
A person requesting a birth record copy who can provide an acceptable form of identification should complete this application.
How to submit it
Submit the application to the Local Registrar, Vital Records Section. Attach a photocopy of your identification; the form says a copy will not be issued unless acceptable identification is presented.
About notarization
This document is signed without a notary; the applicant signs and dates the form and attaches a photocopy of identification.
How to submit this form
- 1
Download The Form
Download the Birth Record Request Form PDF.
- 2
Complete The Application
Fill in the requested birth, applicant, relationship, purpose, and copy-count information.
- 3
Gather Identification
Attach a photocopy of an identification type listed on the form.
- 4
Submit The Application
Submit the application to the Local Registrar, Vital Records Section.
Frequently asked questions
- Do I need a notary for the Birth Record Request Form?
- No. This form is signed without a notary; the applicant signs and dates it and attaches a photocopy of identification.
- How do I submit the Birth Record Request Form?
- Submit it to the Local Registrar, Vital Records Section, and attach a photocopy of your identification. The form says a copy will not be issued unless acceptable identification is presented.
- What identification does the form accept?
- The form lists a driver's license, non-driver's license, passport, naturalization papers, military ID, employer's photo ID, two utility bills showing your name and address, or a police report of lost or stolen ID.
- What information does the application request?
- It asks for the person's name, date and place of birth, parents' names, the applicant's relationship and purpose, and the number of copies requested.