We issue death certificates for deaths which occurred in Sullivan County within the past six years. Certified copies of death certificates are only available at the Blountville Office.

In addition, we issue short form birth certificates for births which occurred anywhere in Tennessee since 1949. The certified short-form birth certificates are available from both the Kingsport and Blountville offices for a fee. Short forms for persons born 1950 through 1975 are no longer acceptable for passports as they do not show parentage.

Birth or Death Certificates can be requested between 8am-4pm Monday thru Thursday, closed for lunch 12pm – 12:30pm; Friday hours 8am-4pm, closed for lunch 11:30am -12:30pm. Closed on Holidays.

Birth Certificates

Sullivan County Regional Health Department issues Short form birth certificates for anyone born in the State of Tennessee from 1949 to the present year. Short form birth certificates for persons born 1950-1975 are no longer accepted for passports as they do not show parentage. A Long Form Birth Certificate is required for a passport for those born 1950-1975.


Identification Requirements

The request must be made by the person named on the certificate, or a parent, guardian, child or spouse of the named person. Most requests for certified copies can be handled while you wait.


Information needed includes: name, date of birth, mother and father’s names, mother’s maiden name, and persons place of birth.

Cost $15.00 per certificate.  Visa & MasterCard are accepted. Checks should be made payable to Sullivan County Regional Health Department.

Birth Certificate-Short Form Application

Long Form Birth Certificate

Requests for a long form birth certificate or certificates of persons born prior to 1949, call Nashville Vital Records Department at (615)532-2679 or mail order form Birth Certificate Application along with copy of your ID. Checks sent to Nashville should be written to Treasurer State of Tennessee.

If you are not married when your child is born, your child does not have a legal father. This service allows the father’s name to be placed on the birth certificate for a child born out of wedlock.

The father’s name may be added to a birth certificate by completing a Voluntary Acknowledgment of Paternity, if all of the following are true:

  1. The child has not yet reached his/her 19th birthday.
  2. The mother was not married at the time the child was born or within 300 days prior to the child’s birth.
  3. Both the biological mother and the father want to add his name to the birth certificate.
  4. There is no father’s name on the birth certificate.


If the answer to any of the above questions is false, a court order would be required to add the father’s name to the birth certificate.


This service is by appointment only. Please call for an appointment. Appointments are available Monday through Thursday.


For questions about Voluntarily Acknowledgement of Paternity or to schedule an appointment, call (423) 279-2780 for the Blountville office or 423-279-2164 for the Kingsport office.  You may also call Department of Health Tennessee Vital Records office at 1-800-457-2165 for further information.

Death certificates available to eligible individuals for those who have expired within Sullivan

County.  Identification Requirements


Last six years kept on file in Blountville office only.


Cost is $15.00 for each certificate. Visa & MasterCard accepted. Check should be made to Sullivan County Regional Health Department.


Information needed: name, sex, date of death, place of death, funeral home, relationship to the decedent, purpose of copy. Photo ID and other verifying information will be necessary if cause of death is to show on the certificate. Call (423) 279-2780 for more information.

Death Certificate Form

Death Certificate Form – Spanish

If unable to come into the Health Department, Death and Birth Certificate Applications printed from our website, along with a copy of your ID, can be faxed to (423)279-7595 or mailed to us at:

Sullivan County Health Department
ATTN: Vital Records
154 Blountville By-pass
P.O. Box 630
Blountville TN, 37617

Sullivan County Regional Health Department does not accept credit cards or orders online; however, for your convenience, you can process online requests through an independent company that we have partnered with to provide you this service; VitalChek Network, Inc. VitalChek can be reached through its website,www.vitalchek.com. An additional fee is charged by VitalChek for using this service, and all major credit cards are accepted.

No client will be refused services based on disabilities, age, race, color, religion, sex, national origin, or any other classification protected by Federal or State law.