Office of Registrar & Vital Statistics 

General Instructions (PDF)

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 below to process your Check/Money Order Request:

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

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)

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.


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. SASE - Self-addressed, stamped envelope. 
Please note that permits are processed as received and are mailed the same day.
For additional information please email:

Tennis Permit (Village Residents Only)

$25.00 for the initial permit with a $150.00 refundable deposit for the Key Fob* (Credit card only)

Any permits for additional family members are $10.00 per person.

* Key Fobs must be returned by December 31st to receive your refund


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