Official state forms
Indiana vital records forms
Applications issued by the Indiana vital records office, plus the forms of counties and cities that process requests locally. Every PDF is the current official version, checked against the source.
Last verified November 10, 2026
Statewide forms
| Form | Record | Actions |
|---|---|---|
Indiana Application for Search of Paternity AffidavitForm State Form 54763 · Request for a search and certified copy of a paternity affidavit on file with the Indiana Department of Health, Division of Vital Records. The state office has paternity affidavits beginning in 1989. Before 1989, paternity was established through the courts. | BirthParentage and paternity | |
Indiana Putative Father RegistrationForm State Form 46750 · Form a putative father files with the Indiana Putative Father Registry at the Indiana Department of Health, Division of Vital Records. He lists the mother and child, and may name an agent to receive notice of an adoption. It must be signed and notarized. | BirthParentage and paternity | |
Indiana Request for Putative Father Search and Affidavit of Search ResultsForm State Form 54808 · Request for a search of the Indiana Putative Father Registry and an affidavit of the results. It is mailed to the Indiana Department of Health, Division of Vital Records. The affidavit can be mailed or emailed to the requester. | BirthParentage and paternity | |
Indiana Adoption Matching Registry Identifying Information ConsentForm State Form 47896 · Registers a person with the Indiana Adoption Matching Registry and records which parties may receive their identifying information. The person registering completes and signs it and mails it to the Indiana Department of Health. | BirthAdoption | |
Indiana Adoption Matching Registry Nonidentifying Information ConsentForm State Form 47897 · Registers a person with the Indiana Adoption Matching Registry for nonidentifying information. The person registering completes and signs it and mails it to the Indiana Department of Health. The office says this form and Form 47896 are both needed to request the original birth record. | BirthAdoption | |
Indiana Adoption Medical History ReportForm State Form 9966 · Medical history of an adopted person and the birth family. It is filed with the Clerk of Court in the adoption case, with the petition or within 60 days of it, not with the vital records office. The Clerk sends the original to the State Registrar with the Record of Adoption. | BirthAdoption | |
Indiana Application for Search of Medical History Information for AdopteeForm State Form 47261 · Request for a search of the Indiana Adoption Medical History Registry for medical information filed for an adoptee. The applicant completes it and mails it to the Indiana Department of Health, Division of Vital Records. | BirthAdoption | |
Indiana Birth Parent Contact PreferenceForm State Form 56535 · Completed by a birth parent to state whether and how an adopted child may contact them, and whether their identifying information may be released. It is mailed to the Adoption Matching Program at the Indiana Department of Health, Division of Vital Records. | BirthAdoption | |
Indiana Birth Parent NonreleaseForm State Form 46392 · Completed by a birth parent to restrict the release of their identifying information for a number of years, until a set date, or permanently. It is mailed to the Adoption Matching Program at the Indiana Department of Health. | BirthAdoption | |
Indiana Application for Marriage LicenseForm State Form 53394 · The marriage license application prescribed by the Indiana Department of Health under IC 31-11-4. It is filed with the county Clerk of the Circuit Court, not with the state vital records office. Both applicants sign and swear to it before the Clerk. | MarriageMarriage license | |
Indiana Application for Search of Certified Record of MarriageForm State Form 54764 · Request to the Indiana Department of Health for a search and a certified Record of Marriage. The form says the state office can provide certified records only for marriages from 1958 through 2012. Other years come from the Clerk of Courts in the county where the marriage was filed. | MarriageRecord search and verification |
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