Get Doh-296a

The DOH-296a form is essential for individuals seeking a copy of a birth record from the New York State Department of Health. This guide provides a step-by-step process to assist users in filling out the form accurately and efficiently online.

Follow the steps to complete the form online successfully.

1. Click ‘Get Form’ button to acquire the form and open it in the editor.
2. Begin by filling in the certificate information section. Provide the first, middle, and last name of the person whose birth record you are requesting. Enter the date of birth in the format MM/DD/YYYY, along with the name of the hospital or, if not applicable, the street address and number where the birth occurred.
3. Specify the village, town, or city, as well as the county where the birth took place. Fill in the full names of both parents: first, middle, and last for the father, and the mother's maiden name.
4. Indicate the number of copies requested and the purpose for which the record is required by checking the appropriate box. If you know the birth or local registration number, enter that information as well.
5. Complete the applicant information section by providing your first, middle, and last name. State your relationship to the person whose record is requested. If you are an attorney, include the name and relationship of your client.
6. Fill in your telephone number and the date of completion in MM/DD/YYYY format. Provide your address, including street, city, state, and zip code.
7. In the type of ID section, check the appropriate box for your identification and provide the corresponding number. Acceptable forms of ID include a driver's license, passport, or other specified type.
8. Once all sections are completed, review your information for accuracy. You have the option to save changes, download, print, or share the form as needed.

Complete your application for a copy of the birth record online today.