Mount Hope, NY · Orange County
Application to Local Registrar for Copy of Birth Record
This form lets a person request a copy of a birth record from the Town of Mount Hope local registrar by providing birth details and applicant information.
What this form is
Use this form to request a copy of a birth record from the Town of Mount Hope local registrar. It asks for the person’s birth details, the applicant’s relationship and contact information, the purpose for the record, and the number of copies requested. The instructions require a $10 money order payable to the Town of Mount Hope and a clear photocopy of valid identification.
Who needs it
Anyone requesting a copy of a birth record from the Town of Mount Hope local registrar should complete and submit this form.
How to submit it
Mail the completed form, a $10 money order payable to “Town of Mount Hope,” and a clear photocopy of valid identification to 1706 Route 211 West, Otisville, NY 10963.
About notarization
This document is signed without a notary; the instructions list no notarized or sworn attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Town of Mount Hope application for a copy of a birth record.
- 2
Complete The Form
Fill in the birth details, applicant information, relationship, purpose for the record, and number of copies requested.
- 3
Gather Required Items
Include a $10 money order payable to the Town of Mount Hope and a clear photocopy of valid identification.
- 4
Mail The Request
Mail the application and required items to 1706 Route 211 West, Otisville, NY 10963.
Frequently asked questions
- Do I need a notary for the birth record copy application?
- No. This document is signed without a notary, and its instructions do not list any notarized or sworn attachment.
- How do I submit the birth record copy application?
- Mail the completed form, a $10 money order payable to the Town of Mount Hope, and a clear photocopy of valid identification to 1706 Route 211 West, Otisville, NY 10963.
- What identification can I send with the application?
- The instructions accept a driver’s license, a non-driver’s license, or a passport. Send a clear photocopy of valid identification.
Need something notarized?
This Application to Local Registrar for Copy of Birth Record doesn’t need a notary — but if you have another Mount Hope form that does, a commissioned online notary can help.