Avon, NY · Livingston 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 by providing birth, applicant, relationship, and record-purpose details.

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 and birth details, the number of copies requested, the purpose for the record, and the applicant’s relationship to that person. The applicant also provides contact and address information and signs and dates the form.

Who needs it

A person requesting a copy of a birth record from the local registrar should complete this application with the requested birth and applicant 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 requests the applicant’s signature and date and states no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Application

    Download the birth record copy application PDF.

  2. 2

    Complete The Application

    Provide the requested birth, record-purpose, relationship, contact, and address details.

  3. 3

    Sign And Date

    Sign and date the application as requested.

  4. 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

Do I need a notary for the birth record copy application?
No. The application requests the applicant’s signature and date, and states no notarized attachment or sworn step.
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.
What information does the application ask for?
It asks for the person’s name and birth details, number of copies, purpose for the record, applicant relationship, telephone number, address, signature, and date.

Need something notarized?

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