Vital Records

Birth Certificates:

Only persons born in Jackson County are able to obtain a birth certificate through the Jackson County Health Department.

Apply Through Mail

  

    To apply by mail, print the above application or send the following information:

    Your full name at birth.

    Your date of birth.

    Your mother's full maiden name.  (If adopted, give adoptive mother's full maiden name).

    Your father's full name.  (If adopted, give adoptive father's name).

    If there has been a legal adoption, give us all the information that you know prior to the adoption.

    The reason you need the birth certificate.

    Sign your request with your legal signature, address and a daytime phone number.

    A copy of your drivers license or identification with your signature on it.

    A stamped, self-addressed envelope (5x7 or larger).

    Enclose a money order payable to:  The Jackson County Health Department.

    Mail all to: Jackson County Health Department, 801 West Second Street, Seymour, Indiana 47274

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Apply On Line

Link Here

 

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

Tip: Use this area to describe one of your services. You can change the title to the service you provide and use this text area to describe your service. Feel free to change the image.

Apply In Person

Place Something Here

 

Orders are processed while you wait upon completion of a birth certificate application and approved proof of identification.

Tip: Use this area to describe one of your services. You can change the title to the service you provide and use this text area to describe your service. Feel free to change the image.

© 2016 by Jackson County Health Department. Proudly maintained by Chester Jones

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