Avon, NY · Livingston County
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 the details needed to identify 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, date and place of birth, parents’ names, the number of copies requested, and the reason for the request. The applicant also provides their contact and identification details, relationship to the person named, signature, and date; the form says to photocopy ID and attach it.
Who needs it
A person requesting a birth record copy should complete the application and provide the requested record, applicant, purpose, and identification information.
How to submit it
Submit the completed application to the local registrar; the form gives no mailing address or other submission instructions, so check the city website for current contact details.
About notarization
This document is signed without a notary; attach a photocopy of identification, and the applicant signs and dates the application.
How to submit this form
- 1
Download the Application
Download the birth record copy application.
- 2
Complete the Form
Enter the requested birth record, applicant, relationship, contact, and purpose information.
- 3
Attach Identification
Photocopy identification and attach it to the application, as directed on the form.
- 4
Sign and Date
Sign and date the application.
- 5
Submit to the Local Registrar
Submit the application to the local registrar; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the birth record copy application?
- No. The application is signed without a notary; it says to attach a photocopy of identification, and the applicant signs and dates the form.
- How do I submit the birth record copy application?
- Submit the completed application to the local registrar. The form does not provide an address or other submission instructions, so check the city website for current contact details.
- What information does the application ask for?
- It asks for birth record details, the number of copies requested, the purpose, the applicant’s relationship and contact information, and identification details.
- Do I need to include identification?
- Yes. The form instructs applicants to photocopy identification and attach it to the application.
