Please print State Form 49607, Application for Search and Certified Copy of Birth Record. The form includes applicable fees, identification requirements, and ... |
Mail this application(s) with a check or money order payable to the Indiana Department of Health, along with a copy of your. Government, State, or Military ... |
This form is not needed for in-person purchase at the walk-in office. * Mail to: ATT: BIRTH MAIL ORDER, MCPHD/Vital Records, 3838 N RURAL ST, INDIANAPOLIS IN ... |
SOUTH BEND, INDIANA 46601-1870. PHONE: 574-235-9639 - FAX: 574-235-9960. APPLICATION FOR CERTIFIED BIRTH CERTIFICATE. Forms of Payment. IN-OFFICE REQUESTS: Cash ... |
INSTRUCTIONS: 1. Please complete all items below by printing clearly. 2. Primary identification required. (copy Valid Driver's license, Military ID, ... |
Certified birth certificates may be obtained by a parent, sibling, or grandparent. One may apply for a birth certificate in the office, by mail, or by fax. |
INSTRUCTIONS: *Please complete all items below by printing clearly. *To obtain a certified copy of a birth record you must show you have direct interest in ... |
Upload a picture of your valid government issued photo ID. Parents full names*. Provide the names of both Parent 1 and Parent 2 including ... |
Birth Certificate Application · Download / View Document File · See Also... Structure. Health Department; Vital Records. |
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