Indiana Application for Search of Certified Record of Marriage (State Form 54764)
Official state formRecord search and verificationForm State Form 54764Free downloadLast verified November 10, 2026
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.
Who can use this form
- Applicant 1 or Applicant 2 named on the marriage record.
- A person with a direct interest in the record, with documentation.
- A person who shows the information is needed to determine personal or property rights, with documentation.
- A person who shows the information is needed to comply with state or federal law, with documentation.
- The state office does not store divorce records. Those come from the Clerk of Courts where the divorce was filed.
What to send with it
- The completed and signed application.
- A check or money order payable to the Indiana Department of Health.
- A copy of your identification. The mailing address must match the identification address.
- Documentation of eligibility, if you are not one of the two applicants on the record.
Where to send it
- Mail to
- Indiana Department of Health Division of Vital Records B-4 Attn: Marriage 2 North Meridian Street Indianapolis, IN 46204
- State fee
- $8.00 per date provided, non-refundable. The fee includes a certified copy of the record if it is found.
- Typical processing
- About 6 to 8 weeks, as printed on the form.
- Form revision
- R6 / 1-24
- Source
- Official government page