Kirkland, NY · Oneida County
Application to Local Registrar for Copy of Birth Record
This application lets a person request a birth record copy or no-record certification from the Town of Kirkland local registrar.
What this form is
Use this application to request a copy of a birth record or a no-record certification from the Town of Kirkland. It asks for details about the person whose record is sought, the birth and search period, the applicant’s relationship and purpose, and where to send the record. The form says written authorization from the person or parents whose record is requested is required before a search.
Who needs it
Anyone requesting a birth record copy or no-record certification from the Town of Kirkland should complete this application.
How to submit it
Complete the form and mail it to Town of Kirkland VS-34B, PO Box 235, Clinton, NY 13323. Enclose $10 per copy or no-record certification; payment is payable to the Town of Kirkland, and cash or stamps should not be sent.
About notarization
This application is signed and dated without a notary; it requires written authorization from the person or parents whose record is requested, but does not say that authorization must be notarized.
How to submit this form
- 1
Download The Application
Download the Town of Kirkland application for a copy of a birth record.
- 2
Complete The Form
Print or type the requested birth, applicant, purpose, relationship, and mailing details, then sign and date the form.
- 3
Gather The Required Items
Include written authorization from the person or parents whose record is requested and the listed fee; do not send cash or stamps.
- 4
Mail The Application
Mail the completed form and enclosures to Town of Kirkland VS-34B, PO Box 235, Clinton, NY 13323.
Frequently asked questions
- Do I need a notary for the birth record copy application?
- No. The application is signed and dated without a notary. It requires written authorization from the person or parents whose record is requested, but does not say that authorization must be notarized.
- How do I submit the birth record application?
- Complete the form and mail it to Town of Kirkland VS-34B, PO Box 235, Clinton, NY 13323. Enclose the stated fee; do not send cash or stamps.
- What does the application ask for?
- It asks for information about the person whose birth record is requested, the birth and search period, the applicant’s relationship and purpose, the number of copies, and a mailing address.
- What is the fee listed on the form?
- The form lists $10 per copy or no-record certification. Payment is payable to the Town of Kirkland; it says not to send cash or stamps.