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 Order Birth & Death Certificates Online To request copies of Vital Statistics from the Lorain City Health Department, please fill in the following information. If you do not wish to have your payment processed on-line click here for a form you can mail to the Health Department.

Please provide the following details about your Vital Record Request. Click "yes" at "Would you like to make an additional request?" if you would like to request another Vital Record.
Note: All of the following information is required.
Vital Record Request form
Record Type:
Full Name of Person:
Date of Birth/Death:
 Month: Date: Year:
Place of Birth/Death:
Father's Full Name:
Mother's Full Maiden Name:

Number
Requested
  
Total
 Number of Certified Copies ($25.00 each) $
Total:
$
Would you like to make an additional request?
Yes     No
  


Lorain City Health Dept.
1144 West Erie Avenue
Lorain, Ohio 44052
Ph: (440) 204-2300
Fax: (440) 246-6894
Office Hours:
Mon. - Thurs. 8:30am - 4:30pm
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