Birth Certificates

The Brookhaven Town Clerk maintains birth records for individuals born within the:

  • Town of Brookhaven
  • Village of Lake Grove
  • Village of Port Jefferson for births that occurred before January 1, 1964

For births that occurred within the Village of Port Jefferson from January 1, 1964 through the present, contact the Village Clerk of Port Jefferson at 631-473-4724. For births that occurred within the Village of Patchogue, contact the Village Clerk of Patchogue at 631-475-4300.

You can apply for a certified copy of a birth certificate in person, by mail or online at VitalChek

Click here for the Application for a Certified Copy of a Birth Certificate (PDF).

Obtain a Birth Certificate

The only individuals eligible to obtain a birth certificate include:

  • The person named on the certificate.
  • A parent of the person named on the birth certificate (requesting parent’s name must be on birth certificate).
  • A person who has court-ordered legal custody/guardianship of the person named on the birth certificate. A certified copy of the court order must accompany request.
  • An individual who has notarized authorization from the person named on the certificate (if 18 years of age or older) or either parent listed on the record. The original notarized authorization must accompany the request. 

Click here for the Authorization Form for Third Party to Obtain a Birth Certificate (PDF).

Identification Requirements

Applications must be submitted with a copy of one (1) of the following forms of valid photo ID. Expired photo ID will not be accepted.

  • DMV issued Non-Driver Photo ID
  • Driver License
  • Employee photo ID plus a pay stub from current employer dated within the last six months
  • Passport
  • Permanent Resident Card
  • Police report of lost/stolen ID
  • U.S. Military ID

If the applicant’s name on the ID differs from the information on the birth certificate, a copy of the applicant’s marriage certificate, legal name change paperwork, citizenship papers or naturalization papers must accompany the request.

Alternative Proofs of Identification

If the applicant does not have a form of valid photo ID as listed above, two (2) of the following showing applicant’s name and address must be submitted with the request.

  • Letter from a government agency dated within the last months
  • Pay stubs dated within the last six months
  • Utility or telephone bills dated within the last six months

Mailing Certificate to a P.O. Box or Third Party

If the applicant’s return address is a Post Office Box, with no street address, or the return address is to a third party, notarized signed consent of the person named on the birth certificate or other person eligible to obtain the copy is required.

Click here for the Authorization Form to Mail Birth Certificate to P.O. Box or Third Party (PDF).

Fee

There is a fee of $10 per certified copy requested. No more than two (2) copies will be issued at a time.

Payment may be made by check or money order payable to “Donna Lent, Brookhaven Town Clerk” through the mail or by cash, check or credit/debit card in the office. A service fee of 2.35% (minimum fee of $1.50) will be added to all credit/debit card transactions.

Certificates ordered online through VitalChek are subject to an additional service fee imposed by VitalChek. 

Click here for the Application for a Certified Copy of a Birth Certificate (PDF).