Hermon, NY · St. Lawrence County
Copy of Birth Record Application
This application lets a person request a copy of a birth record from the local registrar by providing certificate details, applicant information, and identification.
What this form is
Use this New York State Department of Health application to request a copy of a birth record from the local registrar. It asks for the person’s birth details, the number of copies requested, the record’s purpose, the applicant’s relationship to that person, and the applicant’s contact information. The form also instructs applicants to attach a photocopy of identification from its accepted list.
Who needs it
A person requesting a birth record copy should complete this application and provide identification from the form’s accepted list.
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 without a notary; it asks the applicant to attach identification, but does not say that any attachment must be notarized or sworn.
How to submit this form
- 1
Download The Application
Download the Copy of Birth Record application PDF.
- 2
Complete The Form
Enter the birth details, requested copy count, purpose, relationship to the person, and your applicant information.
- 3
Attach Identification
Include a photocopy of identification from the form’s accepted identification list.
- 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
- Do I need a notary for the Copy of Birth Record Application?
- No. The application has a signature line but no notary block; attach a photocopy of acceptable identification as instructed.
- How do I submit the birth record application?
- The form does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application ask for?
- It asks for birth certificate details, the number of copies requested, the record’s purpose, your relationship to the person, and your contact information.
- What identification should I include?
- The form says to attach a photocopy of identification. Its list includes a driver’s license, passport, military ID, employer photo ID, or other listed options.