Geneseo, NY · Livingston County
Mail-In Application for Copy of Birth Certificate
This New York State application lets eligible people request a birth certificate for a birth outside New York City through the Geneseo Town Clerk.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this application if you are named on the birth certificate or are that person's parent, and the birth occurred in New York State outside New York City. The form requests the applicant's details, relationship to the person, record purpose and number of copies. Include required identification and payment. If the certificate should be delivered to a P.O. Box or third party, the instructions require a separate notarized statement signed by the applicant and a copy of the applicant's driver's license.
Who needs it
A person named on a birth certificate or that person's parent may use this application for a birth in New York State outside New York City.
Why it needs a notary
The application has no notarial block; for delivery to a P.O. Box or third party, the applicant must sign a separate statement before a notary.
How to get this notarized
- 1
Download the Application
Get the Mail-in Application for Copy of Birth Certificate and review its eligibility and mailing instructions.
- 2
Fill Out the Form
Enter the requested birth, applicant, relationship, purpose and delivery details. Include required identification and payment.
- 3
Book an Online Notary
If delivery is to a P.O. Box or third party, arrange notarization of the separate statement signed by the applicant.
- 4
Sign on Video
Sign the separate statement during your online notary session and obtain the notarized document.
- 5
Submit to the Town
Mail the completed application, payment, ID copies and any required notarized statement to the Geneseo Town Clerk.
Preview the form
The blank PDF straight from Geneseo. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I get a birth certificate using this application?
- Complete and sign the application, include the required identification and payment, and mail it to the Geneseo Town Clerk. If delivery is to a P.O. Box or third party, include the required notarized statement and a copy of your driver's license.
- Do I need notarization for this birth certificate application?
- Not for the application itself. The form requires a separate notarized statement signed by the applicant only when the record is to be delivered to a P.O. Box or third party.
- Can I sign the required statement with an online notary?
- New York authorizes remote online notarization by its own notaries under Executive Law §135-c, in effect since 2023. You can sign the separate statement with a commissioned online notary.
- What identification and payment should I include?
- Include a copy of one listed valid photo ID or copies of two listed documents showing your name and address. The form says to enclose $10 per copy and pay by check or money order, not cash.
- Where do I mail the application?
- The form directs applicants to mail it to the Town of Geneseo, Attn: Town Clerk, at 4630 Millennium Drive, Geneseo, NY 14454. Confirm with the city, town or village if unsure.