Effingham County, IL · Effingham County
Request for Vital Records
This request form is for people seeking certified birth, death, or marriage records by mail from the Effingham County Clerk and Recorder.
At a glance
- Issued by
- City of Effingham County · Effingham County, Effingham County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- effinghamcountyil.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form to request certified copies of birth, death, or marriage records by mail from the Effingham County Clerk and Recorder. It asks for details about the person or event, the number of copies, your relationship to the person named, and where to mail the record. Attach a photocopy of your driver’s license or state ID and include payment.
Who needs it
People requesting certified birth, death, or marriage records by mail from the Effingham County Clerk and Recorder should complete this form.
How to submit it
Mail the completed form, payment payable to the Effingham County Clerk, and a photocopy of your driver’s license or state ID to 101 N. Fourth St., Suite 201, PO Box 628, Effingham, IL 62401.
About notarization
This document is signed without a notary; attach a photocopy of your driver’s license or state ID, then sign and date the request.
How to submit this form
- 1
Download the Request
Download the Effingham County Request for Vital Records PDF.
- 2
Complete the Form
Enter the record and event details, number of certified copies, your contact information, and your relationship to the person named.
- 3
Gather the Required Items
Attach a photocopy of your driver’s license or state ID and include payment payable to the Effingham County Clerk.
- 4
Mail the Request
Mail the completed request and attachments to the Effingham County Clerk at the address printed on the form.
Frequently asked questions
- Do I need a notary for the Request for Vital Records?
- No. The request has no notary block; sign and date it, and attach a photocopy of your driver’s license or state ID.
- How do I submit the Request for Vital Records?
- Mail the completed form, payment payable to the Effingham County Clerk, and a photocopy of your driver’s license or state ID to the address printed on the form.
- What records can I request with this form?
- The form is for certified copies of birth, death, or marriage records. It asks for the number of copies and details about the person or event.
- What identification should I attach?
- Attach a photocopy of your driver’s license or state ID to the request, as directed on the form.