Brookfield, NY · Madison County
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 the applicant’s details and reason for the request.
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, date and place of birth, number of copies, purpose of the request, the applicant’s relationship to the person, contact details, address, signature, and date.
Who needs it
A person requesting a birth record copy from the local registrar can use this application to provide the requested information.
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 document is signed without a notary; the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the birth record copy application.
- 2
Complete The Form
Enter the requested birth details, purpose, relationship, contact information, and address.
- 3
Sign And Date
Sign and date the application.
- 4
Submit To The City
Submit it 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. This application is signed and dated by the applicant without a notary.
- 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.
- What information does the application ask for?
- It asks for birth details, the number of copies requested, the purpose of the request, the applicant’s relationship to the person, and the applicant’s contact information, address, signature, and date.
Need something notarized?
This Application to Local Registrar for Copy of Birth Record doesn’t need a notary — but if you have another Brookfield form that does, a commissioned online notary can help.