North Dansville, 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 Town of North Dansville Local Registrar.
What this form is
Use this application to request a copy of a birth record from the Town of North Dansville. It asks for details about the person named on the certificate, the applicant’s relationship and contact information, the purpose of the request, and the number of copies. The form lists a fee per copy and requires acceptable identification.
Who needs it
A person requesting a birth record copy from the Town of North Dansville, including an applicant requesting their own record or a parent requesting a child’s record, can use this form.
How to submit it
Mail or deliver the application to the Town Clerk, Town of North Dansville, 14 Clara Barton St, Dansville, NY 14437. Include a certified bank check or money order for $10 per copy; personal checks are not accepted.
About notarization
This application is signed without a notary; it asks for no notarized attachment or sworn step, so the applicant just signs.
How to submit this form
- 1
Download The Application
Download the Application to Local Registrar for Copy of Birth Record.
- 2
Complete The Application
Provide certificate and applicant information, the purpose of the request, the number of copies, and your signature.
- 3
Gather Identification And Payment
Include an accepted type of identification and a certified bank check or money order for $10 per copy. Do not send a personal check.
- 4
Submit To The Town Clerk
Mail or deliver the application to the Town Clerk, Town of North Dansville, 14 Clara Barton St, Dansville, NY 14437.
Frequently asked questions
- Do I need a notary for the birth record copy application?
- No. This application is signed without a notary, and it does not list a notarized attachment or sworn step.
- How do I submit the birth record copy application?
- Mail or deliver it to the Town Clerk, Town of North Dansville, at 14 Clara Barton St, Dansville, NY 14437. Include a certified bank check or money order for $10 per copy; personal checks are not accepted.
- What identification should I include?
- The form lists a driver’s license, non-driver’s license, passport, naturalization papers, military ID, employer photo ID, or two utility bills showing your name and current address. It says copies will not be issued without an accepted type of identification.
Need something notarized?
This Application to Local Registrar for Copy of Birth Record doesn’t need a notary — but if you have another North Dansville form that does, a commissioned online notary can help.