Do I need a notary for the birth record application?

No. The applicant signs and dates the application without a notary. The form asks for a photocopy of identification but does not say it must be notarized.

How do I submit the birth record application?

The form says the $10.00 birth certificate fee is payable to the Village of Dolgeville, but does not give a submission address or method. Check the city website for current contact details.

What does the form say about the fee?

The form lists a $10.00 birth certificate fee and says to pay the Village of Dolgeville.

Dolgeville, NY · Herkimer County

No notary required

Application to Local Registrar for Copy of Birth Record

This application is for people requesting a copy of a birth record from the local registrar in Dolgeville.

What this form is

Use this New York State Department of Health application to request a copy of a birth record from the local registrar. It asks for the person's name and birth details, the applicant's relationship and contact information, the purpose of the request, and identification details. The form lists a $10.00 birth certificate fee payable to the Village of Dolgeville.

Who needs it

A person requesting a copy of a birth record from the local registrar should complete this application and provide the requested identification.

How to submit it

The form says the $10.00 birth certificate fee is payable to the Village of Dolgeville, but gives no submission address or method. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed and dated without a notary; it asks the applicant to attach a photocopy of identification, but does not say that the copy must be notarized.

How to submit this form

1
Download The Application
Download the birth record copy application PDF.
2
Complete The Application
Fill in the requested birth details, applicant information, purpose, and identification details.
3
Gather Identification
Attach a photocopy of identification, as directed on the form.
4
Submit To The Village
The form says the $10.00 fee is payable to the Village of Dolgeville. Check the city website for current submission details.

Frequently asked questions

Do I need a notary for the birth record application?: No. The applicant signs and dates the application without a notary. The form asks for a photocopy of identification but does not say it must be notarized.
How do I submit the birth record application?: The form says the $10.00 birth certificate fee is payable to the Village of Dolgeville, but does not give a submission address or method. Check the city website for current contact details.
What information does the application request?: It asks for the person's name and birth details, the applicant's relationship and contact information, the purpose of the request, and identification details.
What does the form say about the fee?: The form lists a $10.00 birth certificate fee and says to pay the Village of Dolgeville.

Need something notarized?

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