Livonia, 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 information about the record and applicant.
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 the person’s birth details, the applicant’s contact information, relationship to the person, and reason for the request; it also instructs the applicant to present an acceptable form of identification.
Who needs it
A person requesting a copy of a birth record, including an attorney applying on behalf of a client, can use this application.
How to submit it
The form is an application to the local registrar. Submit it to the local registrar; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; it asks the applicant to attach acceptable identification, and no sworn or notarized attachment is listed.
How to submit this form
- 1
Download the Application
Download the birth record copy application.
- 2
Complete the Application
Fill in the birth record information, number of copies, applicant details, relationship, and purpose.
- 3
Gather Identification
Prepare one of the identification types listed on the form; it says not to issue a copy unless acceptable identification is presented.
- 4
Sign and Date
Sign and date the application.
- 5
Submit to the Local Registrar
Submit the application to the local registrar and 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 and dated without a notary. It asks for acceptable identification to be presented, and lists no sworn or notarized attachment.
- How do I submit the birth record copy application?
- The form is an application to the local registrar. Submit it to the local registrar and check the city website for current contact details.
- What information does the application request?
- It asks for the birth record details, number of copies requested, applicant’s name and contact information, relationship to the person, and reason for the request.
- What identification does the form list?
- It lists a driver’s license, non-driver’s license, passport, naturalization papers, military ID, employer photo ID, two utility bills, or a police report of lost or stolen ID.
