Vital Records Division
Ripley County Health Department
Death Certificate Application
Name of Deceased:___________________________________________________________________
Date of Death:_______________________________________________________________________
Place of Death:______________________________________________________________________
Your Relationship to Deceased:_________________________________________________________
All information above must be accurate.
You must be able to prove relationship.
Our records do not list the parent's names.
Cost is $ 7.00 for a certified copy or $ 1.00 for a computer print-out.
You may also get information by writing
to: Ripley County Historical Society
P.O. Box 525
Phone Number: 812-689-3031