TOWN OF ISLIP – ATTN: REGISTRAR’S OFFICE OLGA H. MURRAY
OFFICE OF THE TOWN CLERK TOWN CLERK & REGISTRAR OF VITAL STATISTICS
655 Main St., Islip NY 11751
Information on How to Obtain a Birth Certificate
FEE: $10.00 PER COPY
A certified copy or transcript may be issued only to:
The parents of the person named on the birth certificate.
The person named on the birth certificate (only if 18 years of age or older).
A person with a New York State Court Order.
Lawful representative of the person named.
State issued drivers or non-drivers license.
Military ID card.
Police report, issued immediately preceding the application showing the requestor’s name and address.
Two current utility bills issued immediately preceding the application and, showing the requestor’s name and
In the event that the applicant’s last name on the identification differs from the information on the certificate, a
copy of the applicant’s birth certificate, marriage certificate, and legal name changes paperwork must accompany.
If the applicant has a notarized authorization to obtain the record on behalf of an eligible individual, an original
notarized statement authorizing such, and ID from the eligible individual must accompany the request.
Fee: $10.00 per certified copy requested in cash, certified check, or money order made payable to "Town of Islip".
In-Person Request: The request may be accepted from a qualified applicant if the following conditions are satisfied:
Mail Request: A qualified applicant can complete a “Copy of Birth Record” application and mail to the above address. An
application can be downloaded at http://www.islipny.gov/departments/town-clerk, or obtained at the Registrar’s Office,
655 Main Street, Islip, or by submitting a letter that provided the following information:
The applicant provides the name, date of birth, and place of birth of the named on the birth certificate. The father’s
first and last names and mother’s first and maiden names of the person named on the birth certificate.
The applicant provides his/her current name and address along with their relationship to the person named on the
The request must be signed by the applicant.
A copy of an acceptable for of I.D. (see above).
$10.00 money order or certified check for each mailed request.