Livonia, NY · Livingston County
Application to Local Registrar 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.
At a glance
- Issued by
- City of Livonia · Livonia, Livingston County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- livoniany.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request copies of a birth record from the local registrar. It asks for information about the birth, the applicant’s identity and relationship to the person named on the record, and the reason the record is needed. The form also instructs applicants to provide a photocopy of identification from its list of acceptable types.
Who needs it
A person requesting a copy of a birth record completes the application and identifies their relationship to the person named on it.
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; attach a photocopy of acceptable identification, and the signer just signs and dates it.
How to submit this form
- 1
Download the Application
Download the birth record copy application PDF.
- 2
Complete the Application
Enter the birth and applicant information, purpose for the request, relationship to the person, and number of copies.
- 3
Gather Identification
Photocopy and attach one of the identification types listed on the form.
- 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 copy application?
- No. The application has a signature and date line but no notary block. Attach a photocopy of acceptable identification; the signer just signs and dates the application.
- 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 birth and applicant information, the purpose for the request, the applicant’s relationship to the person named on the record, and the number of copies requested.
- What identification should I attach?
- The form says to photocopy and attach identification. It lists options including a driver’s license, passport, military ID, employer photo ID, or two utility bills showing the applicant’s name and address.
