Print, fill out and bring into the Vital Records 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. . Make MONEY ORDER PAYABLE TO City of Utica Vital Records
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.
NAME AT BIRTH: ____________________________________
DATE OF BIRTH: ____________________________________
PLACE OF BIRTH: ____________________________________
FATHER'S NAME: ____________________________________
MOTHER'S NAME: ____________________________________
NAME OF BRIDE: _____________________________________
NAME OF GROOM: ____________________________________
DATE OF MARRIAGE: __________________________________
PLACE OF MARRIAGE AND/OR LICENSE: ___________________
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: __________________________________
Send Record to: (please print)
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 of Utica
1 Kennedy Plaza
Utica, NY 13502
New York State Department of Health
Vital Records Section, Genealogy Unit
PO Box 2602
Albany, NY 12220-2602