What information does the birth record copy application request?

It asks for birth details, parents’ names, the number of copies requested, the record’s purpose, the applicant’s relationship and contact information, and a signature and date.

What identification should accompany this application?

The form instructs applicants to photocopy and attach an acceptable ID. It lists a driver’s license, non-driver’s license, passport, naturalization papers, military ID, employer photo ID, two utility bills, or a police report of lost or stolen ID.

Do I need a notary for an Alexandria birth record copy application?

No. The application calls for a signature and date, not notarization. It requests a photocopy of acceptable identification but does not say that the copy must be notarized.

Alexandria, NY · Jefferson 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 from the local registrar and provide information about the birth and the applicant.

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 name, date and place of birth, parents’ names, number of copies, and the purpose for the record. The applicant also provides their relationship to the person, contact and address details, signature, and date; the form instructs applicants to attach a photocopy of acceptable identification.

Who needs it

A person requesting a copy of a birth record should complete this application and provide the requested applicant and certificate information.

How to submit it

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 for a photocopy of acceptable identification, but does not state that the copy must be notarized.

How to submit this form

1
Download The Application
Download the birth record copy application.
2
Complete The Application
Fill in the certificate and applicant information, select the purpose, and sign and date the application.
3
Attach Identification
Photocopy and attach one of the acceptable identification types listed on the form.
4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What information does the birth record copy application request?: It asks for birth details, parents’ names, the number of copies requested, the record’s purpose, the applicant’s relationship and contact information, and a signature and date.
What identification should accompany this application?: The form instructs applicants to photocopy and attach an acceptable ID. It lists a driver’s license, non-driver’s license, passport, naturalization papers, military ID, employer photo ID, two utility bills, or a police report of lost or stolen ID.
Do I need a notary for an Alexandria birth record copy application?: No. The application calls for a signature and date, not notarization. It requests a photocopy of acceptable identification but does not say that the copy must be notarized.
How do I submit the birth record copy application?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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