Registrar & Vital Statistics 

Please click or scan QR Code
To process your Credit/Debit Request:   

Vital Record Birth Ctertificat e Opens in new window

Please click the link above to process
 Your Check/Money Order Request:

For more information and guidelines, please refer to these General Instructions (PDF)


Birth Certificates

Mail-In Application for Copy of Birth Certificate (PDF)
Please include a self-addressed envelope with your application to receive the Birth Certificate back to you.  

Death Certificates

Mail-In Application for Copy of Death Certificate (PDF)
Please include a self-addressed envelope with your application to receive the Birth Certificate back to you. 

For more information about Vital Statistics, email the Registrar.


Handicap Parking Permit (Village Residents Only)

A signed physician's note stating the disability along with driver's license must be provided to the Registrar's Office. There is no fee for this service. 

4x4 Permit (Village of Southampton) - In Person 

You may visit Village Hall at 23 Main Street, Southampton, NY during the hours Monday-Friday 9am-4pm with the documents listed below to receive your 4x4 Permit.

4x4 Permit (Village of Southampton) - Mail-in Directions 

You may apply for the 4x4 Permit by submitting the following by mail to:
 23 Main Street, Southampton, NY  11968

Documents required:
1. Copy of the Receipt for your 4x4 PERMIT issued by the Southampton Town Trustees
2. Copy of either the VEHICLE REGISTRATION or the Town Trustee 4x4 PERMIT
3.  Payment as follows: 

1-Year Permit: $25.00 
3-Year Permit: $60.00
1-Year Senior Permit: $10.00
3-Year Senior Permit: $30.00
Replacement Permit: $10.00

4. SASE - Self-addressed, stamped envelope. 
Please note that permits are processed as received and are mailed upon completion. 
For additional information please email: registrar@southamptonvillage.gov

Tennis and Pickleball Permit (Village Residents Only)

$75.00 /family permit or $25.00/ individual. 
For court access, there is a $150.00 refundable deposit for the Key Fob* (Credit card only)
* Key Fobs must be returned by December 31st to receive your refund 
Tennis and Pickleball Permit Application

Purchase a Bench/Tree Plaque - Southampton Village Dedication Application

Existing Tree and Plaque = $500.00
Bench and Plaque = $2,500.00

Please provide the required information listed at the link below and furnish to: registrar@southamptonvillage.org
Purchase a Bench/Tree Plaque - Southampton Village Dedication Application


Contact

Mimi Michel-Guerra

Registrar/ Tax Cashier/ Community Liaison

631-283-0247 ext. 226

Email Mimi Michel-Guerra


Karen E. Bontempo

Deputy Registrar

631-283-0247 ext. 222

Email Karen E. Bontempo


Shannon O'Donnell

Senior Office Assistant

631-283-0247 ext. 219

Email Shannon O'Donnell