Livonia, 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 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. 1

    Download the Application

    Download the birth record copy application.

  2. 2

    Complete the Application

    Fill in the birth record information, number of copies, applicant details, relationship, and purpose.

  3. 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. 4

    Sign and Date

    Sign and date the application.

  5. 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.

Need something notarized?

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