Certified Birth Certificates

Our birth records here in Jefferson County Indiana start in 1882. Download the form for a Birth Record (PDF). To view and print this document you will need Adobe Reader. The Adobe software is available free at the Adobe website.

Online Requests

For your convenience, you can process online requests through an independent company that Jefferson County Health Department has partnered with to provide you this service; VitalChek Network, Inc. VitalChek can be reached through their website. An additional fee is charged by VitalChek for this service and all major credit cards are accepted, including American Express®, Discover®, MasterCard®, or Visa®.

Additional Information

The Madison-Jefferson County Library is an excellent source for genealogy research.

Acceptable Identification

  • Fishing License w/ Signature
  • Gun Permit w/ Signature
  • Library Card w/ Signature
  • Military ID w/ Signature
  • Motor Vehicle Registration
  • Passport
  • School ID w/ Signature
  • Social Security Card
  • State Identification
  • Valid Drivers License
  • Work ID w/ Signature

Note: Other documents may be accepted at the discretion of the Registrar. A person who has no form of Identification, should ask someone on the eligible persons list to obtain the record.


Here is a list of persons eligible to obtain certified copies of birth certificates.

Legitimate Birth Records

  • Attorney representing person named on record (must have I.D. for self and I.D./permission note from person named on record)
  • Brothers and Sisters
  • Caseworker from Division of Family and Children with court appointed guardianship papers
  • Children
  • Court Appointed Legal Guardian (must provide guardianship papers)
  • Grandparents
  • Individual named on the record (must be over age 18)
  • Law Enforcement personnel with I.D. and court order
  • Other county agencies left up to discretion of the registrar and the local health department
  • Parents of the person named on the record
  • Spouse

Illegitimate Birth Records

  • Individual named on the record (must be over age 18)
  • Mother of the person named on the record
  • Father of the person named on the record (name must appear on the record)

Written Statement

Note: If an individual under the age of 18 wishes to request a certificate, he / she must have a written permission note from a parent or guardian, authorizing the release of a birth certificate to a specified person.The written statement must include a parent or guardian's signature and be accompanied by acceptable I.D. The individual under age 18 must also provide acceptable I.D.