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. The form requires acceptable identification to be presented.

What information does the application ask for?

It asks for the person's name, birth date and place, parents' names, number of copies, purpose, applicant relationship, contact details, address, and signature.

What identification is accepted?

The form lists a driver's or non-driver's license, passport, naturalization papers, military ID, employer photo ID, two utility bills showing the applicant's name and address, or a police report of lost or stolen ID.

New Bremen, NY · Lewis County

No notary required

Application for Copy of Birth Record

This application requests a copy of a birth record from the local registrar and is completed by the person seeking the record.

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, birth date and place, parents' names, the number of copies requested, and the purpose for the record. The applicant also provides their relationship to the person, contact and address details, and a signature; acceptable identification must be presented.

Who needs it

A person requesting a copy of a birth record completes this application and presents one of the identification types listed on page two.

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 lists no notarized or sworn attachment, so the applicant just signs and dates it.

How to submit this form

1
Download The Application
Download the application for a copy of a birth record.
2
Complete The Application
Enter the requested birth, applicant, contact, address, and record-purpose information, then sign and date the form.
3
Gather Identification
Prepare one of the identification types listed on page two; the form says a copy will not be issued unless identification is presented.
4
Submit To The City
Submit the application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the birth record application?: No. This application is signed and dated without a notary. It lists no notarized or sworn attachment.
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. The form requires acceptable identification to be presented.
What information does the application ask for?: It asks for the person's name, birth date and place, parents' names, number of copies, purpose, applicant relationship, contact details, address, and signature.
What identification is accepted?: The form lists a driver's or non-driver's license, passport, naturalization papers, military ID, employer photo ID, two utility bills showing the applicant's name and address, or a police report of lost or stolen ID.

Need something notarized?

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