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Vital Statistics


To protect the privacy of sensitive information and to prevent identify theft, Birth Certificates are not public records and the cause of death on a Death Certificate is not public record. As required by state law, we restrict access to these certificates, but they are readily available to the individuals, family members and guardians or beneficiaries. We require requesting individuals to produce photo identification and/or other documentation before releasing these confidential records or portions of the records.


Birth Certification Requirements


The Lafayette County Health Department, Office of Vital Statistics, can access birth records for anyone born within the State of Florida from 1930 to the present. All others prior to 1930 would need to be requested from the State Office of Vital Statistics in Jacksonville at (904) 359-6900. The cost is $15.00 per copy, when purchased from the County.


Who can obtain a copy of a Birth Certificate?


  • Indivituals 18 years of age or older may obtain their own certificate.
  • Parents or guardians (who present court documents showing legal custody).
  • Attorneys representing children and adolescents under age 18 (documentation must also be provided.)

What is needed for Birth Certificates?

  • A valid form of photo identification such as a driver’s license, State ID issued by the Department of Motor Vehicles, passport or military ID, for mailed requests please provide enlarged, lightened, readable photocopies.
  • A completed Birth Certificate Request Form
  • You will also need to provide the person's:
    • Full name
    • Date of birth
    • County of birth
    • Mother's full name including maiden name (for Birth Certificates)
    • Father's full name (if applicable on Birth Certificates)

Death Certification Requirements


Currently, our office can only provide Death Certificates for deaths that occurred in Lafayette County from 2010 to the present. All others need to be requested from the State Office of Vital Statistics in Jacksonville at (904) 359-6900. The cost is $7.00 per copy, if purchased from the County.


Who can obtain a copy of a Death Certificate?

  • Without the cause of death listed:
    • Anyone may request a copy of a Death Certificate without the cause of death showing on the certificate
  • With the cause of death listed:
    • To obtain a copy of a Death Certificate with the cause of death showing on the certificate, you have to be a member of the immediate family. This includes a spouse or parent, child, grandchild, or sibling if of legal age; or Beneficiary of a deceased person's life insurance policy (must provide documentation); or Estate administrator (must provide documentation).

What information is needed for Death Certificates?

  • To request a certificate with cause of death, a valid form of photo identification such as a driver’s license, State ID issued by the Department of Motor Vehicles, passport or military ID.
  • A completed Death Certificate Request Form
  • You will also need to provide the person's:
    • Full name
    • Date of death
    • County of death

Contact Information


Vital Statistics (386) 294-1321 ext. 224


Links


Application for Birth Certificate
Application for Death Certificate

Lafayette County Health Department
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140 SW Virginia Circle • Mayo, FL 32066
Phone (386) 294-1321 • FAX (386) 294-3876
This page was last modified on: 09/18/2012 11:10:25