Indiana Request for Putative Father Search and Affidavit of Search Results (State Form 54808)
Official state formParentage and paternityForm State Form 54808Free downloadLast verified November 10, 2026
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.
Who can use this form
- The attorney or adoption agency handling the adoption of the child named on the form.
- Another person or entity entitled to the information under IC 31-19-5-21.2, who must explain their connection to the child.
- The requester signs under the penalties of perjury.
What to send with it
- The completed and signed request with the child's name, date and place of birth, and the mother's name.
- A check or money order payable to the Indiana Department of Health.
- A copy of a valid government, state, or military identification.
Where to send it
- Mail to
- Indiana Department of Health Division of Vital Records B-4 Attn: Putative Father 2 North Meridian Street Indianapolis, IN 46204
- State fee
- $16.00 per search per person, non-refundable. The form notes that the separate $50 Putative Father Registration fee must still be attached to a petition for adoption when it is filed.
- Typical processing
- Not provided
- Form revision
- R4 / 10-24
- Source
- Official government page