Madrid, NY · St. Lawrence County

No notary required

Birth Record Request

This application lets a person request a copy of a birth record from the local registrar using identifying details and a stated purpose.

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, the applicant’s relationship to that person, the number of copies requested, and the reason for the request. The form also requires the applicant’s signature and lists acceptable identification that must be presented.

Who needs it

Anyone requesting a copy of a birth record should complete this application and present one of the identification types listed on the form.

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 document is signed without a notary; the applicant signs and dates the application, and no notarized or sworn attachment is mentioned.

How to submit this form

  1. 1

    Download The Application

    Download the Birth Record Request application.

  2. 2

    Complete The Application

    Enter the requested birth and applicant details, select the purpose, and sign and date the application.

  3. 3

    Gather Identification

    Prepare one of the identification types listed on the form; it says a copy should not be issued unless acceptable identification is presented.

  4. 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 Birth Record Request?
No. The application is signed and dated without a notary, and it does not mention a notarized or sworn attachment.
How do I submit the Birth Record Request?
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 the subject’s name, date and place of birth, the applicant’s relationship to the subject, the number of copies, and the purpose of the request.
What identification must I present?
The form lists acceptable identification, including a driver’s license, passport, military ID, two utility bills showing your name and address, or a police report of lost or stolen ID.

Need something notarized?

This Birth Record Request doesn’t need a notary — but if you have another Madrid form that does, a commissioned online notary can help.