Genealogy Research Information
Our birth and death records
here in Jefferson County Indiana start in 1882.
In order for our office to do a search, a date of birth or date of death
is required. If the record is located,
we will in-turn forward the information contained in the record to you. We do not charge to do a search, but if a certified copy of a birth certificate is needed the charge is $10.00 (includes protective pouch) per certificate or if a certified copy of a death certificate is needed the charge is $10.00 per certificate. Fees are payable by cash, personal check or
money order to the Jefferson County Health Department.
The following forms are
available to obtain birth and death record information for genealogy searches
only.
Application for birth record information (Genealogy Only)
Application for
death record information (Genealogy Only)
|
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/ |
NOTE: THIS
OFFICE DOES NOT HAVE MARRIAGE AND DIVORCE RECORDS.
Those can be
obtained from:
|
Jefferson County Clerk's Office
300 W. Main Street,
Madison, Indiana 47250
Phone Number: (812)265-8948 |
(The forms below may be downloaded
by by clicking the Application link above.) |
APPLICATION FOR BIRTH RECORD
(GENEALOGY
ONLY)
ALL BIRTH RECORDS THAT ARE NOT 75 YEARS OLD ARE CONFIDENTIAL RECORDS and can only be issued to the individual named on the certificate or a member of the immediate family.
(INDIANA
STATE LAW: IC-16-1-16)
PLEASE PRINT
Full Name____________________________Date of Birth_________________
Parents: ___________________________ _____________________________
(father) (mother)
Full Name____________________________Date of Birth__________________
Parents: ___________________________ ______________________________
(father) (mother)
Full Name____________________________Date of Birth__________________
Parents:
________________________ _________________________________
(father) (mother)
Full Name____________________________Date of Birth__________________
Parents:
________________________ _________________________________
(father) (mother)
Applicant Signature: ____________________________Phone #_______________
Address: __________________________________________________________
The cost of a certified
copy of birth is $10.00? (includes protective pouch)
APPLICATION FOR DEATH RECORD
(GENEALOGY
ONLY)
PLEASE PRINT
Name____________________________Date of Death_____________________
Place of
Death:_____________________________________________________
Name____________________________Date of Death_____________________
Place of
Death:_____________________________________________________
Name____________________________Date of Death______________________
Place of
Death:______________________________________________________
Name____________________________Date of Death______________________
Place
of Death:______________________________________________________
Applicant Signature: _________________________Phone #__________________
Address: _________________________________________________________
The cost of a certified
copy of death is $10.00
