Stockholm, NY · St. Lawrence County
Application for a Copy of a Birth Record
This one-page application requests a copy of a birth record from the Town of Stockholm Registrar of Vital Statistics and is completed by the applicant seeking the record.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
This application is used to request a copy of a birth record from the Town of Stockholm Registrar of Vital Statistics. Complete the identifying and relationship details, state the purpose and number of copies, and include the required fee unless the request is for a listed social-welfare or veterans’ benefit eligibility determination. The form says written authorization from the person or parents is required before a search, and the applicant’s signature must be notarized.
Who needs it
A person requesting a birth record, including the person named in the record or an attorney, completes this application and provides the required written authorization.
Why it needs a notary
The applicant signs the application’s “Subscribed and sworn before me” jurat in the notary’s presence; the form requires the signature to be notarized.
How to get this notarized
- 1
Download the Application
Get the birth record copy application from the Town of Stockholm.
- 2
Complete the Form
Enter the requested birth, applicant, relationship, purpose, and copy details. Include required written authorization and payment.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary and have identification ready.
- 4
Sign on Video
Sign the application during the online notarization session so the notary can complete the jurat.
- 5
Submit to the Town
Send the completed application, required authorization, and payment to the Town Registrar of Vital Statistics.
Preview the form
The blank PDF straight from Stockholm. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I request a copy of a birth record with this form?
- Complete the application with the requested identifying details, relationship, purpose, and number of copies. Include written authorization and the fee when required, have your signature notarized, then send the form to the Town Registrar.
- Do I need to have my signature notarized?
- Yes. The form states that the applicant’s signature must be notarized and provides a “Subscribed and sworn before me” jurat for the notary to complete.
- Can I sign this application with a commissioned online notary?
- New York has authorized its notaries to perform remote online notarizations under Executive Law §135-c since 2023. Ask the Town whether it accepts this notarized application; confirm with the city, town or village if unsure.
- What fee does the form list?
- The form lists a fee of $10 per copy and says to make checks payable to Heather Kish, Town Clerk. It also describes a fee waiver for certain social-welfare and veterans’ benefit eligibility requests.
Other forms in Stockholm
Application for a Copy of a Birth Record in other New York cities
Each city publishes its own version of this form. Pick the city where you’re filing.