De Kalb, NY · St. Lawrence County
Application for Copy of Birth Record
This application is for someone requesting a copy of a birth record from the local registrar and asks for information about the person and applicant.
What this form is
Use this application to request a copy of a birth record from the local registrar. It asks for the person’s name, date and place of birth, parents’ names, the number of copies requested, the reason for the request, and the applicant’s relationship and contact details. The form says an acceptable type of identification must be presented before a copy is issued.
Who needs it
A person requesting a copy of a birth record from the local registrar should complete this application and present one of the listed types of identification.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the birth record copy application.
- 2
Complete The Application
Enter the requested birth, applicant, relationship, contact, and purpose information, and sign and date the application.
- 3
Gather Identification
Prepare one of the identification types listed on the form; it says a copy will not be issued unless acceptable identification is presented.
- 4
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the birth record application ask for?
- It asks for the person’s name, birth date and place, parents’ names, number of copies, reason for the request, and the applicant’s relationship and contact details.
- What identification is needed with this application?
- The form lists acceptable identification, including a driver’s license, passport, military ID, employer photo ID, two utility bills showing the applicant’s name and address, or a police report of lost or stolen ID.
- Do I need a notary for the birth record application?
- No. The application is signed and dated without a notary; the signer just signs and dates it.
- How do I submit the birth record application?
- The form does not give a submission address or contact details. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Application for Copy of Birth Record doesn’t need a notary — but if you have another De Kalb form that does, a commissioned online notary can help.