Death Certificates

by mail

Below is an application for requesting a certified death certificate from the Floyd County Health Department.

Please Note:  We can only provide a copy of a death certificate for a death that occurred in Floyd County.  If the person lived here but died outside of Floyd County, we will not have access to that death certificate.

  1. Complete all items 1 through 6 on the application. Provide all the information you have available to identify the death record. If the information you furnish is incomplete or inaccurate, we may not be able to locate the record.
  2. Submit $13.00 for each copy requested. Indicate the number of copies you want and include the correct fee(s) in the form of a cashier’s check or money order. PERSONAL CHECKS WILL NOT BE ACCEPTED. The Floyd County Health Dept. does not accept credit cards by mail. Make cashier’s check or money order payable to FLOYD COUNTY HEALTH DEPARTMENT.
  3. The authorized individual requesting the certified death certificate must sign the application in front of a Notary Public. Notary Public must complete bottom section of application (must include seal).
  4. Include a self-addressed, stamped envelope with application. Return 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.

MAIL TO:     

Floyd County Health Department
1917 Bono Rd
New Albany, IN  47150                  

Use the form below to apply for a Death Certificate in Floyd County

        Instructions to obtain Certified Death Certificate (pdf)

Application for Floyd County Certified Death Certificate (pdf)