Bennington, NY · Wyoming County
Application to Local Registrar for Copy of Birth Record
This application requests a copy of a birth record and is completed by the person seeking the record.
At a glance
- Issued by
- City of Bennington · Bennington, Wyoming County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- benningtonny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request a copy of a birth record from a local registrar. It asks for details about the birth, the purpose of the request, the applicant’s relationship to the person named on the record, and the applicant’s contact information. The form also asks the applicant to provide identification; it says not to issue a copy unless an accepted type of identification is presented.
Who needs it
A person requesting a copy of a birth record completes this application and provides identification as described on the form.
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 document is signed without a notary; the applicant signs and dates the form and attaches a photocopy of identification.
How to submit this form
- 1
Download the Application
Download the birth record copy application.
- 2
Complete the Form
Fill in the birth and applicant information, select the purpose, and enter the number of copies requested.
- 3
Gather Identification
Make a photocopy of an identification type listed on the form to attach to the application.
- 4
Sign and Submit
Sign and date the application, then submit it to the city department named on the form.
Frequently asked questions
- What information does the birth record application ask for?
- It asks for birth details, the purpose of the request, the applicant’s relationship to the person named on the record, and the applicant’s contact information.
- What identification should I include?
- The form asks for a photocopy of identification and lists acceptable types, including a driver’s license, passport, military ID, or two utility bills showing the applicant’s name and address.
- Do I need a notary for the birth record application?
- No. This application is signed and dated by the applicant without a notary; the form asks for a photocopy of identification.
- How do I submit the birth record application?
- Submit it to the city department named on the form; check the city website for current contact details.