Wilna, NY · Jefferson County
Application to Local Registrar for Copy of Birth Record
This application is for someone requesting a copy of a birth record from a local registrar and asks for details about the person and the applicant.
What this form is
The application requests a copy of a birth record and asks for the person's name, date and place of birth, parents' names, and number of copies requested. It also asks the applicant to state the purpose for the record, their relationship to the person, contact details, identification information, and signature and date.
Who needs it
A person requesting a copy of a birth record from a local registrar uses this application to provide the requested record and applicant details.
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 document is signed and dated without a notary; the form does not mention a notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Application
Download the birth record application PDF.
- 2
Complete The Application
Fill in the requested birth, applicant, purpose, relationship, contact, and identification details, then sign and date the form.
- 3
Check For Attachments
The form instructs applicants to photocopy identification and attach it to the application.
- 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 is the Application to Local Registrar for Copy of Birth Record?
- It is an application for requesting a copy of a birth record. It asks for information about the person whose record is requested, the applicant, and the purpose for the record.
- Who completes this birth record application?
- The applicant requesting the copy completes the form with the person's birth details, their relationship to that person, contact and identification information, and a signature and date.
- Do I need a notary for the birth record application?
- No. The document is signed and dated without a notary, and it does not mention a notarized or sworn attachment or related step.
- How do I submit the birth record 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 Wilna form that does, a commissioned online notary can help.