Indiana Putative Father Registration (State Form 46750)
Official state formParentage and paternityForm State Form 46750Free downloadLast verified November 10, 2026
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.
Who can use this form
- A putative father, who completes and signs the form.
- The form must be returned within 30 days after the child's birth or before the petition for adoption is filed.
- He may name another person as his agent to receive notice of an adoption.
What to send with it
- The completed form, signed and notarized.
- Your Social Security number. The form says disclosure is mandatory and the record cannot be processed without it.
- Information about the child's mother and the child, if known.
Where to send it
- Mail to
- Indiana Department of Health Division of Vital Records B-4 Attn: Indiana Putative Father Registry 2 North Meridian Street Indianapolis, IN 46204 Fax Number: 317.233.1289
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- R4 / 1-24
- Source
- Official government page