Russell, NY · St. Lawrence County

No notary required

Birth Record Application

This application lets a person request a copy of a birth record from the local registrar by providing birth, applicant, and identification details.

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 birth details, the number of copies requested, the reason for the request, and the applicant’s relationship and contact information. The form also lists acceptable identification and says not to issue a copy unless one of the listed types is presented.

Who needs it

A person requesting a birth record copy, including a parent or other requester, can complete this application and provide the required 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 without a notary; the applicant signs and dates it and must present one listed form of identification.

How to submit this form

  1. 1

    Download The Application

    Download the Birth Record Application PDF.

  2. 2

    Complete The Form

    Enter the birth details, requested number of copies, purpose, relationship, and applicant contact information.

  3. 3

    Gather Identification

    Prepare one identification type listed on page two; the form says not to issue a copy without it.

  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

What is the Birth Record Application for?
It is an application to the local registrar for a copy of a birth record. It asks for birth details, the number of copies requested, the purpose, and applicant information.
Who can request a birth record with this form?
The form asks the applicant to state their relationship to the person whose record is requested, with options for self, parent, or other.
Do I need a notary for the Birth Record Application?
No. The application is signed without a notary; the applicant signs and dates it and must present one identification type listed on the form.
How do I submit the Birth Record Application?
Submit it to the city department named on the form; check the city website for current contact details. The form says one listed type of identification must be presented.

Need something notarized?

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