Print, fill out and bring into the City Clerks Office on the first floor at City Hall.

GENERAL INFORMATION AND APPLICATION FOR GENEALOGICAL SERVICES

Vital record copies cannot be provided for commercial purposes.

1. Fee - (available in office) includes search and uncertified copy or notification of no record.  1-3 year search - $22.00 MONEY ORDER ONLY

2. Original records of births and marriages for the entire state begin with 1881, deaths begin with 1880, EXCEPT for records filed in Albany, Buffalo, and Yonkers prior to 1914.  Applications for these cities should be made directly to the local office.

3. The New York State Department of Health does not have New York City records except for births occurring in Queens and Richmond counties for the years 1881 through 1897.

4.  Must send copy of picture ID with request.

To insure a complete search, provide as much information as possible.  Please complete for type of record requested--birth, death or marriage.

BIRTH

NAME AT BIRTH: ____________________________________

DATE OF BIRTH: ____________________________________

PLACE OF BIRTH: ____________________________________

FATHER'S NAME: ____________________________________

MOTHER'S NAME: ____________________________________

MARRIAGE

NAME OF BRIDE: _____________________________________

NAME OF GROOM: ____________________________________

DATE OF MARRIAGE: __________________________________

PLACE OF MARRIAGE AND/OR LICENSE: ___________________

___________________________________________________

DEATH

NAME AT DEATH: ______________________________________

DATE OF DEATH: _________________ AGE AT DEATH: _______

PLACE OF DEATH: _____________________________________

NAMES OF PARENTS: ____________________________________

NAME OF SPOUSE: ______________________________________

For what purpose is information required? __________________________________________

What is your relationship to person whose record is requested? ________________________________________________

In what capacity are you acting? ________________________________________________

Signature of applicant: _____________________________

Address: ________________________________________

Date: _____________

Send Record to: (please print)

Name: ___________________________________________

Address: __________________________________________

City; __________________ State: ____________Zip: ______

If requesting birth and marriage records, please sign the following statement:

To the best of my knowledge, the person(s) named in the application is/are deceased.

________________________________________________                                                 

Signature of applicant

Return completed and $22 Money Order for with proper ID to:

City Clerks Office
Utica City Hall
1 Kennedy Plaza
Utica, NY 13502

--or--

New York State Department of Health
Vital Records Section, Genealogy Unit
PO Box 2602
Albany, NY 12220-2602