INSTRUCTIONS FOR OBTAINING A BIRTH CERTIFICATE BY MAIL

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1. Certified birth certificates are issued only to:

•       Person named on the record who is over 18 years of age.

•      Parent(s) of  person named on the record.

•      Grandparent(s) of person named on the record.

•      Spouse of person named on the record (copy of marriage license may be requested).

•      Adult child of the person named on the record.

•      Legal guardian of person named on the record (Legal guardianship document needed).

•      Sibling over 18 years of age of person named on the record.

2. Complete all items 1 through 13.

Provide all the information you have available to identify the birth record.  If the information you furnish is incomplete or inaccurate, we may not be able to locate the record.

5. Submit $7.00 for each copy requested. Indicate the number of copies you want and include the correct fee(s) in the form of a postal or bank money order.  Personal checks are accepted, must have current printed address and phone number on check  (No hand written address on check.) Make all checks and money orders paid to the order of the Floyd County Health Department.

6. Include a self-addressed stamped envelope with the application.

Returned Mail Option: Completed certificates are returned using the U.S. Postal Service. If you prefer Priority return mail service, you must include a postage paid priority mail envelope.

SEND TO:    Floyd County Health Department

                   1917 Bono Road

                   New Albany, Indiana 47150-4607

Made sure that your application has been filled out completely, signed in front of a Notary Public, fee is included and self-addressed envelope.  Incomplete applications will not be processed.