Death Records
Our death records here in Jefferson County Indiana start in 1882.
The form for a
certified certificate of death is available to download on this
website. To view and
print this document you will need Adobe Reader. The Adobe software is available
FREE at Adobe.com
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®.
Address &
Phone Number
Jefferson County Health Department
Vital Records
715 Green Road,
Madison, Indiana 47250
(812)273-1942
Additional
Information
The Madison- Jefferson County
Library is an excellent source for research.
The on-staff expert is Janice Barnes and she can be reached at
(812)265-2744. The hours for the library
are: Monday-Thursday (9:00am-9:00pm), Friday (9:00am-6:00pm), Saturday (9:00am-5:00pm), and Sunday (1:00pm-5:00pm).
Madison-Jefferson County Public Library
420 W. Main Street,
Madison, Indiana 47250
Website:www.mjcpl.org/
Application For Death
Certificate
Name of Deceased____________________________________________________________
Date of Death _______________________________________________________________
(If
exact date of death is not known, please indicate the five (5) years you wish
us to search)
Place of Death:
______________________________________
Number of Copies
________________________
Cost: $10.00 each
Applicants Signature: _________________________________________________
Applicant's Address: ________________________________________________________
Phone # ________________________________
Date of Request:
_________________________
