Palmyra, NY · Wayne County
Application to Local Registrar for Copy of Birth Record
This application is for people requesting a copy of a birth record from the Palmyra Local Registrar and asks for details about the birth 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 person’s name and birth details, the number of copies requested, the purpose of the request, the applicant’s relationship to the person, and the applicant’s contact information and signature. The form says an acceptable type of identification must be presented before a copy is issued.
Who needs it
Anyone requesting a copy of a birth record from the Palmyra Local Registrar should complete this application and present an acceptable type of 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; the form requires acceptable identification to be presented, but mentions no sworn or notarized attachment.
How to submit this form
- 1
Download The Application
Download the birth record copy application.
- 2
Complete The Application
Enter the birth details, request purpose, applicant relationship and contact information, then sign and date the form.
- 3
Gather Identification
Prepare one of the acceptable types of identification listed on the form; identification must be presented before a copy is issued.
- 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
- Do I need a notary for the birth record copy application?
- No. The application is signed and dated without a notary. It requires acceptable identification to be presented, but mentions no sworn or notarized attachment.
- How do I submit the birth record copy application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application ask for?
- It asks for birth details, the number of copies requested, the purpose of the request, the applicant’s relationship to the person, and the applicant’s contact information and signature.
- 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.