Louisiana Death Certificate Application (VR Form S1) (VR Form S1)
Official state formForm VR Form S1Free downloadLast verified November 9, 2026
VR Form S1 is the combined application used to order a certified copy of a Louisiana birth or death certificate from the Louisiana Department of Health, Office of Public Health, Vital Records.
Who can use this form
- The person named on the record (self)
- A spouse, parent, child, grandparent, grandchild or sibling
- An attorney, succession representative or other authorized person
- A financial or insurance beneficiary of the decedent
What to send with it
- The completed and signed application
- A copy of your federal or state photo ID
- An Authorization Release of Records, if ordering for someone not automatically entitled
- Payment by check or money order payable to Louisiana Vital Records
Where to send it
- Mail to
- Vital Records Registry PO Box 60630 New Orleans, LA 70160
- State fee
- $7 per certified copy
- Typical processing
- About 8 to 10 weeks by mail
- Source
- Official government page