Forms and Applications On-line

In order to better serve the general public, a number of forms and applications are now available on line. In order to read and print the forms, you will need the free copy of Acrobat reader with your browser. Click on the Acrobat icon to download a free copy.

Disclaimer: The documents posted here are for informational purposes only. Though every effort is made to ensure that they are up to date, you should also contact the proper department to ensure that they are current. Some departments may accept the documents as presented here, but others may require that you pick up a form directly from them. Please be advised that some of these files are quite large and will take some time to download if you do not have a broadband connection.

The fee for recording the First Page of any document will INCREASE from $43.00 to $53.00.
The fee for all additional pages per document will remain at $5.00 per page.

This is mandated statewide.

Another new increase:

Increases to various municipal fees that are administered and collected by town clerks were passed in the latest budget bill #6802. The following are the fees that affect town clerk duties:
Sec 7-74:
• Birth Certificate copy (short form) from $5 to $15
• Birth Certificate copy (long form) from $10 to $20
• Marriage Certificate copy from $10 to $20
• Death Certificate copy from $10 to $20
Sec 1-212
• Hand-held Scanner Usage from $10 to $20
Sec 3-94o
• Replacement Certificate Filing for a Notary from $1 to $15
Sec 9-623
• Campaign Finance Late Filing from $100 to $200
Sec 26-28, 26-35, 26-37, 26-48a, 26-49, 26-86a, 26-86c
These fees become effective on October 1, 2009.
These fees come directly from the State of Connecticut
and not the individual municipalities.



Birth certificates are confidential and only those persons whose name appears on the certificate (mother, father or person themselves – over the age of eighteen) are entitled to receive copies with the proper identification.  Grandparents can also obtain copies with the proper identification and proof of relationship (if you are a paternal grandparent your son’s name must be on the certificate in order to obtain a copy).  Legal court appointed guardians must provide original papers stating so.  Step parents are not allowed to obtain records.

Legal court order for a change of name can be obtained from the Probate Court in the town which you reside, once the order is granted you must bring the originals to the Town Clerk Office where the birth occurred so that the record can be amended.

The fee for a large Birth Certificate is twenty dollars ($20.00) and the fee for a small wallet Birth Certificate is fifteen dollars ($15.00) cash only when applying in person.  When coming into the office you must present a photo ID (Driver License or Passport) or two other forms as stated on the application.

When writing in for a Birth Certificate, you give your name at the time of your birth, date of birth, Mother’s maiden name and father’s name.  Enclose the appropriate fees in the form of a Money Order only.  Again if you do not have photo identification, you must give other forms of identification.  Requests will not be filled without the proper identification and the proper enclosed fees in the form of Money Orders.

DepartmentDocuments Available
Building Inspector
(203) 736-1481

Application for Building Permit
Application for small repairs
Application to demolish.
Application for commercial construction.
Application for electrical work.
Application for heating and fuel equipment.
Application for a generator permit
Application for plumbing.
Application for a roofing permit
Application for a sign permit.
Application for a flammable tank installation

Community Development
Revolving Loan Program Application
Housing Department
Elderly Housing Application
Parks & Recreation
(203) 735-4222
Derby Veterans Community Center Membership Application
Police Department
(203) 735-7811
Forms can be found here
Tax Collector
Transfer of Property Notification

Information on state tax relief programs

Town Clerk
Application for copy of birth certificate
Application for copy of marriage certificate
Application for copy of death certificate
Voter Registration certificate

For information on State of Connecticut forms on line, click here.

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