Village of Goshen, NY · Orange County
Birth Certificate Application By Mail
This application lets eligible adults or parents request a certified birth certificate by mail from the Village of Goshen when the birth occurred in the village or at a listed local hospital.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The Village of Goshen uses this two-page application for mailed requests for a birth certificate on file at Village Hall. Applicants select a regular or long-form certificate, provide birth and family details, and include identification, payment, a return envelope, and a notarized signature. The form says a certified copy costs $10 per copy and lists the documents to send to the Registrar.
Who needs it
An adult born in Arden Hill, Goshen Hospital, or within the Village of Goshen, or that person’s parent, may use this form to request a mailed copy.
Why it needs a notary
The applicant signs before a notary, who completes the form’s Notary Acknowledgment block confirming the signer appeared and acknowledged executing the instrument.
How to get this notarized
- 1
Download The Application
Get the Village of Goshen birth certificate application by mail.
- 2
Fill Out The Form
Enter the birth and family details, choose a certificate type, and gather identification, payment, and a return envelope.
- 3
Book An Online Notary
Arrange an appointment with a commissioned online notary for the applicant’s signature.
- 4
Sign On Video
Meet the notary by video and sign the application as directed.
- 5
Submit To The Village
Mail the completed application and required documents to the Village Registrar.
Preview the form
The blank PDF straight from Village of Goshen. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I request a birth certificate by mail?
- Complete the application, include current identification, payment of $10 per copy, and a self-addressed stamped envelope, then mail the materials to the Village Registrar.
- Do I need to sign the application in front of a notary?
- Yes. The form says your signature must be notarized and includes a Notary Acknowledgment block for the notary to complete.
- Can I use a commissioned online notary?
- New York authorizes its notaries to perform remote online notarizations. Before booking, confirm with the city, town or village if unsure whether the Village will accept an application notarized online.
- What identification and payment should I include?
- Include a photocopy of current, unexpired identification and $10 per copy by cash or money order. The form also lists other acceptable identification and says personal checks and debit or credit cards are not accepted.
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