Kentucky Department for Libraries and Archives

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 Home  > Research Services > Indexes > Microfilm Order Form: Original Death Certificates

Instructions

After filling out the form and clicking on the "Submit" button, you will be redirected to a confirmation page.

You will receive a follow-up confirmation of your order by email or phone.

Receipt of payment through the mail is required before purchases will be filled.

If your are not redirected to the confirmation page, or you do not receive a follow-up confirmation, contact Michele Howard by

Phone:
502-564-8300, ext. 319
Fax:
502-564-5773
Email:
michele.howard@ky.gov

 

KDLA is part of the Education Cabinet.

300 Coffee Tree Road
Frankfort, Kentucky 40601
Phone:(502) 564-8300
Hours: 8-4:30 EST

Vital Statistics Original Death Certificates (1911-1956)

Microfilm Order Form

* indicates a required field

Shipping/Billing Information
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Include a copy of certificate with payment

Records Requested

Order #1

*

Order #2

Order #3

Subtotal Tax Total
$88.00 $5.28 $93.28
$99.00 $5.94 $104.94
$110.00 $6.60 $116.60
$121.00 $7.26 $128.26
$132.00 $7.92 $139.92
Payment Information

Kentucky residents must add 6% sales tax to their Subtotal.
If you do not reside in Kentucky, please transfer your Subtotal to the Total Purchase Amount field without adding tax.

Receipt of payment through the mail is required before purchases will be filled.

Payment Addressee: Kentucky State Treasurer
Payment Mailing Address:
Michele Howard, Public Records Division,
KDLA,
P.O. Box 537,
Frankfort, Kentucky 40602-0537

  

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Information Updated:08/16/2007