Vital Records Online
 
 
Louisiana · Death

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
Back to Louisiana forms
Louisiana Death Certificate Application (VR Form S1) (VR Form S1) | Louisiana Form