Do I need a notary for the birth record copy application?

No. This application is signed without a notary; the applicant just signs and dates it.

How do I submit the birth record copy application?

Complete the form and enclose the fee payable to the Annsville Town Clerk. The form lists 4225 State Route 69, Taberg, NY 13471, and says not to send cash or stamps.

What does the birth record application ask for?

It asks for birth details, applicant contact information, the relationship to the person whose record is requested, and the purpose of the request.

What is the fee for a birth record copy?

The form lists a fee of $10.00 per copy or No Record Certification. It says to make payment to the Annsville Town Clerk.

Annsville, NY · Oneida County

No notary required

Application to Local Registrar for Copy of Birth Record

This application requests a copy of a birth record or a No Record Certification from the Annsville Town Clerk.

What this form is

Use this application to request a copy of a birth record or a No Record Certification. It asks for birth details, the applicant’s contact information, relationship to the person named, and the purpose of the request. The form lists a $10 fee per copy and says written authorization from the person or parents whose record is requested is required before a search is processed.

Who needs it

Anyone requesting a birth record copy or No Record Certification from the Annsville Town Clerk can use this application.

How to submit it

Complete the form and enclose the fee, payable to the Annsville Town Clerk; do not send cash or stamps. The form lists the address as 4225 State Route 69, Taberg, NY 13471.

About notarization

This document is signed without a notary; the applicant just signs and dates the application.

How to submit this form

1
Download The Application
Download the Application to Local Registrar for Copy of Birth Record.
2
Complete The Form
Print or type the requested birth, applicant, relationship, and purpose details; then sign and date the application.
3
Gather The Fee
Enclose the $10.00 fee per copy or No Record Certification, payable to the Annsville Town Clerk. Do not send cash or stamps.
4
Submit The Application
Send the completed application and fee to 4225 State Route 69, Taberg, NY 13471.

Frequently asked questions

Do I need a notary for the birth record copy application?: No. This application is signed without a notary; the applicant just signs and dates it.
How do I submit the birth record copy application?: Complete the form and enclose the fee payable to the Annsville Town Clerk. The form lists 4225 State Route 69, Taberg, NY 13471, and says not to send cash or stamps.
What does the birth record application ask for?: It asks for birth details, applicant contact information, the relationship to the person whose record is requested, and the purpose of the request.
What is the fee for a birth record copy?: The form lists a fee of $10.00 per copy or No Record Certification. It says to make payment to the Annsville Town Clerk.

Need something notarized?

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