Rosendale, NY · Ulster County

No notary required

Application to Local Registrar for Copy of Birth Record

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

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 number of copies requested, and the purpose of the request. The applicant also provides their name, relationship to the person, contact details, and address, and must attach a photocopy of acceptable identification.

Who needs it

A person requesting a birth record copy from the local registrar should complete this application and provide the requested 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 and dated without a notary; attach a photocopy of acceptable identification, such as a driver's license, passport, or two utility bills.

How to submit this form

  1. 1

    Download The Application

    Download the Application to Local Registrar for Copy of Birth Record.

  2. 2

    Complete The Application

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

  3. 3

    Gather Identification

    Photocopy and attach one of the acceptable types of identification listed on the form.

  4. 4

    Submit To The City

    Submit the application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Application to Local Registrar for Copy of Birth Record?
It is an application for requesting a birth record copy from the local registrar. It asks for birth details, the reason for the request, applicant information, and identification.
What identification should I attach?
The form says to photocopy and attach acceptable identification. Its list includes a driver's license, non-driver's license, passport, naturalization papers, military ID, employer photo ID, two utility bills, or a police report of lost or stolen ID.
Do I need a notary for the birth record application?
No. The application is signed and dated without a notary. It does require a photocopy of acceptable identification to be attached.
How do I submit the birth record application?
The form does not provide submission instructions or contact details. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Application to Local Registrar for Copy of Birth Record doesn’t need a notary — but if you have another Rosendale form that does, a commissioned online notary can help.