Do I need a notary for the birth record copy application?

No. The application does not require a notary and lists no notarized or sworn attachment; the applicant completes the requested information.

What information does the application ask for?

It asks for birth and parent details, the number of copies, the purpose of the request, your relationship to the person, and an address where the record should be sent.

What fee does the form list?

The form lists a $10 fee per copy or No Record Certification and says not to send cash or stamps.

Lyons, NY · Wayne County

No notary required

Application to Local Registrar for Copy of Birth Record

This application lets a person request a copy of a birth record from the Local Registrar by providing birth, applicant, and mailing 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 name and birth details, the number of copies requested, the reason for the request, the applicant's relationship to the person, and an address for mailing the record; it also states a $10 fee per copy or No Record Certification.

Who needs it

A person requesting a copy of a birth record from the Local Registrar needs this application to provide the requested birth and applicant information.

How to submit it

Complete the form and enclose the $10 fee per copy or No Record Certification; do not send cash or stamps. The form is an application to the Local Registrar.

About notarization

This document is completed without a notary; it lists no notarized or sworn attachment, so the applicant simply completes the requested information.

How to submit this form

1
Download the Application
Download the birth record copy application PDF.
2
Complete the Form
Print or type the requested birth, applicant, relationship, purpose, and mailing information.
3
Gather the Fee
Enclose the stated $10 fee per copy or No Record Certification; do not send cash or stamps.
4
Submit to the Local Registrar
Submit the completed application and fee to the Local Registrar.

Frequently asked questions

Do I need a notary for the birth record copy application?: No. The application does not require a notary and lists no notarized or sworn attachment; the applicant completes the requested information.
How do I submit the birth record copy application?: Complete the form and enclose the stated $10 fee per copy or No Record Certification. Do not send cash or stamps; the form is for the Local Registrar.
What information does the application ask for?: It asks for birth and parent details, the number of copies, the purpose of the request, your relationship to the person, and an address where the record should be sent.
What fee does the form list?: The form lists a $10 fee per copy or No Record Certification and says not to send cash or stamps.

Need something notarized?

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