Nunda, NY · Livingston County

No notary required

Application to Local Registrar for Copy of Birth Record

This application is for people requesting a copy of a birth record from the local registrar, and asks for birth, applicant, and identification 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 name and birth details, the applicant’s relationship and purpose, the number of copies requested, and the applicant’s signature and contact information. The form lists a $10 fee per certified copy or No Record Certification and requires identification copies.

Who needs it

Anyone requesting a copy of a birth record from the local registrar completes this application and provides the required identification.

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 without a notary, but notarized authorization is required if the requester is not a child or parent named on the requested certificate.

How to submit this form

  1. 1

    Download The Application

    Download the Application to Local Registrar for Copy of Birth Record.

  2. 2

    Complete The Application

    Enter the birth and applicant details, purpose, relationship, number of copies, and sign and date the form.

  3. 3

    Gather Identification

    Include copies of one listed valid photo ID or two listed documents showing your name and address.

  4. 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 applicant signs and dates this application without a notary. However, notarized authorization is required if the requester is not a child or parent named on the requested certificate.
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. Include copies of the required identification with your application.
What identification must I include?
Include copies of either one listed form of valid photo identification or two listed documents showing your name and address, such as utility bills or a government agency letter.
What fee does the application list?
The form lists a fee of $10 per certified copy or No Record Certification. It also asks you to state how many copies you are requesting.

Need something notarized?

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