Remsen, NY · Oneida County
State Birth Record Request
This application lets a person request a certified birth record or No Record Certification through the local registrar using the information on the form.
What this form is
The New York State Department of Health form is an application to the Local Registrar for a copy of a birth record. It asks for the person's name, birth details, parents' names, number of copies, purpose, relationship to the person named on the record, and applicant contact information. It also lists fees and requires identification copies; a notarized authorization is required when the request is not from the child or a named parent.
Who needs it
Anyone requesting a copy of a birth record or No Record Certification for a person born in the town, city, or village listed on the application may use it.
How to submit it
Submit it to the Local Registrar, as named on the application. The form says to include the required identification copies and, when applicable, notarized authorization.
About notarization
The application itself is signed and dated without a notary; a request by someone other than the child or a named parent requires notarized authorization.
How to submit this form
- 1
Download The Application
Download the State Birth Record Request application.
- 2
Complete The Application
Provide the requested birth, parent, requester, purpose, and contact information, then sign and date the application.
- 3
Gather Required Documents
Include copies of either one listed photo ID or two listed documents showing your name and address. Include notarized authorization if required.
- 4
Submit To The Local Registrar
Submit the application and required copies to the Local Registrar named on the form.
Frequently asked questions
- Do I need a notary for the State Birth Record Request?
- No. The application itself is signed and dated without a notary. If the requester is not the child or a parent named on the certificate, notarized authorization is required.
- How do I submit the State Birth Record Request?
- Submit the application to the Local Registrar named on the form. Include copies of the required identification and, when applicable, notarized authorization.
- What identification must I include?
- Include copies of either one listed form of valid photo ID or two listed documents showing your name and address, such as utility bills or a passport.
- What information does the application ask for?
- It asks for the person's name and date of birth, birth location, parents' names, number of copies, purpose, requester relationship, and applicant contact details.