St. Johnsville, NY · Montgomery County
Birth Certificate Application
This application is for someone requesting a copy of a birth record from a local registrar and provides the applicant’s identifying and contact information.
What this form is
This application asks a local registrar for a copy of a birth record. It collects the person’s name, date and place of birth, parents’ names, requested copy count, reason for the request, applicant’s relationship and contact details, and the applicant’s signature and date. It also includes fields for a known birth or local registration number and attorney-client information when applicable.
Who needs it
Anyone requesting a copy of a birth record can use this application to provide the requested information and identify their relationship to the person.
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 notarized attachment or related step.
How to submit this form
- 1
Download The Application
Download the Birth Certificate Application PDF.
- 2
Complete The Application
Enter the requested birth, parent, applicant, and contact information, along with the reason and number of copies requested.
- 3
Gather Attachments
No attachment is listed on this application.
- 4
Sign And Date
Sign and date the application.
- 5
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 Certificate Application?
- No. The application is signed and dated without a notary, and it lists no notarized attachment or related step.
- How do I submit the Birth Certificate Application?
- The application does not provide submission details. 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 and parent details, the number of copies requested, the reason for the request, the applicant’s relationship and contact information, and a signature and date.