Gardiner, NY · Ulster County
Application for Copy of Birth Record
This application lets an eligible person request a copy of a birth record from the local registrar by providing information about the record 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 record subject’s name, date and place of birth, the applicant’s relationship and contact details, the number of copies, and the reason for the request. 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 an accepted form of identification.
How to submit it
Submit the application to the local registrar. The form does not provide an address, email, portal, or fee information.
About notarization
This application is signed and dated without a notary; it says an accepted type of identification must be presented, and the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Application for Copy of Birth Record.
- 2
Complete The Form
Enter the birth record details, your relationship to the person, requested number of copies, purpose, and applicant information.
- 3
Gather Identification
Bring one of the identification types listed on the form; it says a copy will not be issued without acceptable identification.
- 4
Submit To The Local Registrar
Submit the completed application to the local registrar. The form does not give submission contact details.
Frequently asked questions
- Do I need a notary for the birth record copy application?
- No. The application is signed and dated without a notary. It says an accepted type of identification must be presented before a copy is issued.
- How do I submit the birth record copy application?
- Submit the application to the local registrar. The form does not provide an address, email, portal, or fee information.
- What information does the application request?
- It asks for details about the person whose birth record is requested, the applicant’s relationship and contact information, the number of copies, and the purpose.
- What identification does the form accept?
- The form lists a driver’s license, non-driver’s license, passport, naturalization papers, military ID, employer photo ID, two utility bills showing the applicant’s name and address, or a police report of lost or stolen ID.
Need something notarized?
This Application for Copy of Birth Record doesn’t need a notary — but if you have another Gardiner form that does, a commissioned online notary can help.