Deerpark, NY · Orange County

No notary required

Application for Copy of Birth Record

This application is for people requesting a copy of a birth record from the local registrar.

What this form is

Use this application to request a copy of a birth record. It asks for the person's name, date and place of birth, parents' names, the purpose for the record, and the applicant's relationship and contact details. The form lists acceptable identification and says not to issue a copy unless one of the listed types of identification is presented.

Who needs it

Anyone requesting a copy of a birth record from the local registrar uses this application and must present an acceptable type of identification.

How to submit it

Submit the application to the local registrar and present one of the acceptable types of identification listed on the form.

About notarization

This document is signed and dated without a notary; it mentions no notarized or sworn attachment or related step.

How to submit this form

  1. 1

    Download the Application

    Download the Application for Copy of Birth Record.

  2. 2

    Complete the Application

    Enter the birth details, purpose for the record, relationship to the person, and applicant information; sign and date the form.

  3. 3

    Prepare Identification

    Bring one of the acceptable types of identification listed on the form.

  4. 4

    Submit to the Local Registrar

    Submit the application to the local registrar and present the identification.

Frequently asked questions

Do I need a notary for the Birth Record application?
No. The form asks the applicant to sign and date it, and includes no notarized or sworn attachment or related step.
How do I submit the Birth Record application?
Submit the application to the local registrar and present one of the acceptable types of identification listed on the form.
What information does the application ask for?
It asks for birth details, parents' names, the purpose of the request, the applicant's relationship to the person, and the applicant's contact information.
What identification does the form accept?
The form lists a driver's or non-driver's license, passport, naturalization papers, military ID, employer photo ID, two utility bills showing the applicant's name and address, or a police report of lost or stolen ID.

Need something notarized?

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