Credit Cards:
For your convenience, you can process online requests through an independent company that Champaign Health District has partnered with to provide you this service; VitalChek Network, Inc. An additional fee is charged by VitalChek for this service, and all major credit cards are accepted, including American Express®, Discover®, MasterCard® or Visa®.”



For your convenience you may call our office and request a certified copy of a birth or death certificate if paying by credit or debit card.  Please have the stated information available.  An additional fee will be charged for credit or debit card transactions.  Certificate will be mailed the next business day.

Certificate request using the form below will be processed, but actual certificate will not be created until payment is received at our office (in person or by mail) due to the cost of the security paper. 

 E-mail request to

Request Form

937 484-1607


937 484-1622


1512 South US Highway 68,
Suite Q100
Urbana, Ohio 43078