Louisiana Department of Health & Hospitals | Bruce Greenstein, Secretary

Information and Resources for Louisiana Vital Records and Statistics Partners

This page is dedicated to providing informational resources and updates to the partners of Vital Records and Statistics throughout the state.

General Information

• Adoption Reunion Registry - Department of Children & Family Services
• Application for Birth/Death Certificate
• Application for Certified Copy of Orleans Parish Marriage License
• Identification Requirements
• Two-Party Acknowledgment of Paternity Form - PUBLIC
• Three-Party Acknowledgment of Paternity Form - PUBLIC

Local Registrars

• Parish Health Unit Monthly Reconciliation Report
• Deputy Local Registrar Designation Signature Form
• Parish Birth Index
• Parish Death Index
• Parish Codes

Hospitals

• Notification of Birth Registration Discrepancies
• Paternity Declaration Form (Hospital Use Only - No Effect on Birth Certificate)
• Application for a Certificate of Birth Resulting in Stillbirth

Funeral Homes

• Funeral Home Application for Death Certificates
• Death Certificate Book Reconciliation Form

Medical Certifiers

• We encourage you to review an informational packet from the Centers for Disease Control/National Center for Health Statistics (CDC/NCHS) entitled Instructions for Completing the Cause-of-Death Section of the Death Certificate.
• Information from Louisiana State Board of Medical Examiners regarding the importance of signing vital event documents.

Clerk of Court

• Clerk of Court Application for Certified BIrth Certificate
• Clerk of Court Monthly Reconciliation Report

Field Representatives for Service Providers
Field Representative	Email Address	Telephone Number
Jemimah Mickel	jemimah.mickel@la.gov	(504) 593-5141
Eaan Bruce	eaan.bruce@la.gov	(504) 593-5142
Omar Khalid	omar.khalid@la.gov	(504) 593-5143