Augusta, NY · Oneida County
Application of Birth Record
This application requests a copy of a birth record and is completed by the person seeking the record from the local registrar.
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 number of copies requested, and the purpose for the record. The applicant also provides their relationship to the person named, contact and address information, and a signature and date.
Who needs it
Anyone requesting a copy of a birth record can use this application to provide the details requested by the Local Registrar.
How to submit it
Submit it to the Local Registrar named on the form; check the city website for current contact details.
About notarization
This application has no notary block; the applicant signs and dates it, and the form does not identify any notarized or sworn attachment.
How to submit this form
- 1
Download The Application
Download the Application of Birth Record PDF.
- 2
Complete The Form
Enter the birth details, requested number of copies, purpose, relationship, contact information, and applicant address.
- 3
Check For Supporting Items
The form does not list attachments. Check with the Local Registrar for any additional items needed.
- 4
Sign And Submit
Sign and date the application, then submit it to the Local Registrar named on the form.
Frequently asked questions
- What is the Application of Birth Record for?
- It is an application to the Local Registrar for a copy of a birth record. It asks for the birth details, number of copies, and purpose.
- Who completes this application?
- The person requesting the record completes the application and provides their relationship to the person whose record is required, along with contact details.
- Do I need a notary for the Application of Birth Record?
- No. This application has no notary block; the applicant signs and dates it, and the form does not identify any notarized or sworn attachment.
- How do I submit the Application of Birth Record?
- Submit it to the Local Registrar named on the form. The form does not provide contact details, so check the city website for current information.