West Turin, NY · Lewis County
Application to Obtain a Copy of a Birth Record
This application lets a person request a copy of a birth record from the Local Registrar by providing birth details, applicant information, and identification.
What this form is
Use this New York State Department of Health application to request a copy of a birth record from a Local Registrar. It asks for the person’s name and birth details, the number of copies requested, the purpose of the request, and the applicant’s relationship to that person. The form also requests the applicant’s signature, date, telephone number, and address, and says acceptable identification must be presented.
Who needs it
A person requesting a copy of a birth record from a Local Registrar needs to provide the requested certificate and applicant information.
How to submit it
Submit the completed application to the Local Registrar identified by 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 present acceptable identification and lists no notarized attachment.
How to submit this form
- 1
Download The Application
Download the birth record copy application PDF.
- 2
Complete The Application
Enter the birth details, number of copies, purpose, relationship, and your contact information.
- 3
Gather Identification
Prepare one of the acceptable identification types listed on the form; it says a copy should not be issued unless identification is presented.
- 4
Submit To The Local Registrar
Submit the completed application to the Local Registrar identified by the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the birth record copy application?
- No. This application is signed and dated without a notary; it asks the applicant to present acceptable identification and lists no notarized attachment.
- How do I submit the birth record copy application?
- Submit the completed application to the Local Registrar identified by the form. Check the city website for current contact details.
- What information does the application ask for?
- It asks for the birth details, number of copies requested, purpose of the request, applicant’s relationship to the person, and the applicant’s contact information and signature.
- What identification does the form accept?
- 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.
