Remsen, NY · Oneida County
State Birth Record Request
This application requests a certified birth record or No Record Certification from the local registrar for a person whose birth occurred in the listed town, city, or village.
What this form is
Use this New York State Department of Health application to request a certified birth record or No Record Certification. It asks for the person's name and birth details, the place of birth, the number of copies, the requester's relationship and purpose, and the applicant's contact and identification information. The form lists fees by district and requires identification copies; notarized authorization is required for some requesters.
Who needs it
A person requesting a birth record or No Record Certification from the local registrar for themselves or another person needs this application.
How to submit it
Submit the application to the local registrar. Include the required identification copies; the form does not provide a submission address or contact details.
About notarization
The applicant signs and dates this request without a notary; if the requester is not the child or a named parent, notarized authorization is required.
How to submit this form
- 1
Download The Application
Download the State Birth Record Request application.
- 2
Complete The Form
Enter the birth details, number of copies, purpose, relationship to the person, and applicant contact information.
- 3
Gather Identification Copies
Include copies of one listed valid photo ID or two listed documents showing the applicant's name and address.
- 4
Submit To The Local Registrar
Submit the application and identification copies to the local registrar.
Frequently asked questions
- What does the State Birth Record Request application do?
- It requests a certified birth record or No Record Certification from the local registrar and asks for birth details, requester information, purpose, and identification.
- Do I need a notary for the State Birth Record Request?
- No. The applicant signs and dates this request without a notary. If the requester is not the child or a named parent, notarized authorization is required.
- How do I submit the State Birth Record Request?
- Submit the completed application to the local registrar and include copies of the required identification. The form does not give a submission address or contact details.
- What identification must accompany the application?
- Include copies of either one listed form of valid photo ID or two listed documents showing the applicant's name and address.