Birth and Death Records
Individuals can request a certified certificate of birth or a certified death certificate from the Health Department. To receive a Birth Certificate, two forms of ID are required.
- CLICK HERE TO VIEW OUR ACCEPTABLE FORMS OF I.D.
- Birth Request Application
- Death Request Application
- Department Fees
TO REQUEST A CERTIFIED BIRTH OR DEATH CERTIFICATE:
1. IN PERSON
WALK-IN'S: Office hours are 8:00am -4:00pm Mon-Fri. The office is open over lunch hour for issuance.
2. THROUGH THE MAIL
Either Birth Request or Death Request forms (above) can be downloaded, printed, filled out, and mailed to the Health Department along with payment and proof of identification.
Mailing Address: Dubois County Health Dept.
1187 S. Saint Charles St.
Jasper, IN 47546.
To complete a request online, the Health Department has a partnership with VitalChek. NOTE: An additional fee is charged by VitalChek for the online service, and all major credit cards are accepted, including American Express®, Discover®, MasterCard® or Visa®. VitalChek requests can take up to two weeks to process.
Online Birth/Death Records Through VitalChek.
4. THIRD PARTY AUTHORIZATION
An adult may authorize another adult to obtain his or her Birth Certificate or that of his or her minor child(18 and under) by completing the Permission to Release Birth Certificate. The Vital Records staff will NOT fax a Birth Certificate to anyone or any organization.