Mount Morris, NY · Livingston County
Application for Copy of Birth Record
This application lets a person request a copy of a birth record from the local registrar using the form’s birth, applicant, 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 birth name, date and place of birth, parents’ names, number of copies, purpose for the record, and the applicant’s contact and relationship information. The applicant signs and dates the form.
Who needs it
A person requesting a birth record copy, or an attorney requesting one for a client, can complete this application.
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; the form lists no sworn attachment or notarized related step.
How to submit this form
- 1
Download The Application
Download the Application for Copy of Birth Record PDF.
- 2
Complete The Form
Enter the requested birth, applicant, relationship, and record-purpose details.
- 3
Sign And Date
Sign and date the application.
- 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. The form lists no sworn attachment or notarized related step.
- What information does the application ask for?
- It asks for the person’s birth name, date and place of birth, parents’ names, requested number of copies, purpose, and the applicant’s contact and relationship information.
- How do I submit the birth record copy application?
- The form does not provide submission instructions or contact details. Submit it to the city department named on the form; check the city website for current contact details.