Application for Search of Certified or Non-Certified Copy of Death Record (State Form 49606)
Official state formForm State Form 49606Free downloadLast verified November 5, 2026
The Indiana Department of Health application to order a certified copy of an Indiana death certificate by mail.
Who can use this form
- A parent, spouse, adult child, grandparent, adult grandchild, sibling, aunt, uncle, or adult niece or nephew of the deceased
- A person with a legal interest (with proof such as a contract, title or court order), or the assigned funeral home or director
- Genealogy copies when the person named would be over 75 years old
- The state holds records from 1900; earlier deaths are kept by the local health department
What to send with it
- This application, completed and signed
- A copy of the front and back of your valid photo ID; your mailing address must match your ID
- A check or money order payable to the Indiana Department of Health
Where to send it
- Mail to
- Indiana Department of Health Division of Vital Records B-4 2 North Meridian Street Indianapolis, IN 46204
- State fee
- $8 search fee, which includes one copy if the record is found; $4 for each extra copy of the same record ordered at the same time. The fee is non-refundable.
- Typical processing
- About 60 days
- Source
- Official government page