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Indiana Birth Certificate Order Form

Birth Certificates are available for order from this website for events that occurred within the State of Indiana. Birth records are not available until 90 days after the date of the event.

ID Requirements must be met before certificate is issued. You will receive an email with instructions on how to send your ID within one week of submitting this application.

Items with an * asterisk are required fields.

Information About the Certificate

City/County of Birth: Please select the exact city and county of birth for the subject of the certificate.

City of Birth for the Subject

County of Birth for the Subject

Indiana birth certificate issuing agency

Choose an issuer offered for the certificate's location. Indianapolis offers Marion County and the state issuer; Fort Wayne offers Allen County and the state issuer.

Allen County: Long Form certificates are not available through this office. Additional proof of relationship is required when ordering for anyone other than yourself or your child.

Indiana birth certificate service

The state issuer offers Standard or Rapid Service. Marion County offers Full Size or Wallet certificates, with optional plastic protection. Allen County offers Birth. The exact product must be offered by the selected issuer.

Date of Birth: The exact date of birth of the person listed on the certificate.

Subject's Date of Birth (MM-DD-YYYY)

Indiana requires applicants to submit a copy of their identification after completing the order.

Year of Birth Restriction: For the selected county we can only accept orders for births that occurred in the year 1906 or later.

Information About the Requestor

IMPORTANT: The requestor is the person ordering the certificate, not the person named on the certificate. If you are ordering your own certificate, you are both the requestor and the subject. The name of the credit card holder must be the same as the requestor.

First Name of Requestor

VitalChek accepts at most 25 characters for the applicant's first name. Names are not truncated.

Middle Name of Requestor

Current Last Name of Requestor

Suffix

Date of Birth & Social Security Number of the Requestor: This is an additional safeguard to protect your identity and the security of the requested certificate.

Date of Birth

Important: Valid SSN only, no ITINs or temporary SSNs permitted.

Social Security Number

Reason for Request

Information: If you are not named on the record you may be required to provide proof of Relationship, Entitlement, and/or Court Documents.
Important: The relationship selected must match your relationship to the subject exactly.

Relationship To Subject

Indiana Department of Health accepts immediate family, including adult children, grandchildren, siblings and aunts/uncles. Paternal relatives require the father to be named on the record. All applicants must provide identification after ordering. Stepparents, guardians, representatives and other unlisted applicants must provide proof of entitlement after ordering, before processing starts. Choose a court-appointed role only if you actually have that appointment; an ordinary guardian is not automatically court-appointed. Domestic Partner has no exact VitalChek option and requires manual review. Marion County allows only yourself or your child, with the applicant named on the record.

Maternal or paternal grandparent

Exact agency role offered by Indiana

Court appointment role

Exact relationship as child (Allen County)

Exact relationship as spouse (Allen County)

Information About the Subject of the Certificate

ADOPTED? Please visit our FAQ section for important information.

Current name of subject: Enter the subject's current name here. If the name printed on the birth certificate differs, enter that exact recorded name in the separate fields below.

First Name of Subject

VitalChek accepts at most 24 characters for the certificate holder's first name. Use the exact recorded name; longer names require individual review.

Middle Name of Subject

Current Last Name of Subject

Suffix

Name on the birth certificate: If the current name, maiden name, adoption or legal name change makes the recorded name different or uncertain, enter the exact name printed on the certificate below. Do not infer it from a maiden or original name. Leave these fields blank only when the subject name above is also the recorded name.

First Name Exactly on Birth Certificate

Middle Name Exactly on Birth Certificate

Leave blank if no middle name appears on the certificate.

Last Name Exactly on Birth Certificate

Suffix Exactly on Birth Certificate

Gender

Maiden Last Name of Subject

Is subject still living?

Name of Mother: Please enter both the current last name and the maiden last name of the mother.

First Name of Mother

Middle Name of Mother

Current Last Name of Mother

Maiden Last Name of Mother

Suffix of Mother

Name of Father: Select "unknown" If the father is unknown or was not listed on the birth certificate.

Father's Status

VitalChek requires father's first and last names for Indiana birth requests even with Unknown selected, and may disable the fields and clear supplied names. This branch requires manual review when the site rejects the exact certificate data. Do not invent names.

First Name of Father

Middle Name of Father

Last Name of Father

Suffix

Was the subject adopted?

Is the subject's original name known?

Original First Name

Original Middle Name

Original Last Name

Was there a legal name change?

Father's First Name Exactly as Shown on the Certificate, if Any

Leave blank if no first name appears on the certificate. Do not guess or invent a name.

Father's Last Name Exactly as Shown on the Certificate, if Any

Leave blank if no last name appears on the certificate. Do not guess or invent a name.

I confirm the subject's and parents' names are correct, including any matching or different last names

VitalChek may ask you to confirm matching or different parent and subject last names. Check this only after reviewing the names above.

Address & Contact Information

Shipping & Billing Address

Shipping & Billing Address Type

Domestic, United States and Puerto Rico United States Military, APO or FPO International, including Canada and Mexico

Requirements: The Billing Address Name must match the Requestor Name

First Name

Last Name

Address Line 1

VitalChek accepts 35 characters per address line. Use Address Line 2 for a unit or apartment; the robot will not cut or rewrite your address.

Address Line 2

City

State

APO/FPO

International State/Province

Zip/Postal Code

Country

Telephone & Email Address of the Requestor: ID requirements and other important information will be emailed to you. An incorrect email address will result in delays.

Daytime Phone Number

Alternate Phone Number

Email Address

Confirm Email Address

Certified Copy of Indiana Birth Certificate

$35.00 OFF each additional official copy

Number of Copies

Qualifying Review

Important: Does not include ID verification and delivery times.

Processing and Delivery

Important: UPS to Alaska, Hawaii or Puerto Rico is up to $27.50. UPS Canada/Mexico is up to $28.00. UPS to all international locations is up to $49.50. Delivery method and price are subject to change based on delivery location
Regular mail delivery is available, however, we recommend you choose a more secure shipping method that provides faster delivery and tracking of your order.

Indiana State & Agency Fee$17.50 per certificate ($4.00 each additional certificate)

Important: State and Agency Fees are subject to change. Delivery Time Frames are not guaranteed and delivery to remote areas may take longer.

Credit Card Details

Important: We currently accept Visa and Mastercard only. Other forms of payment, including American Express, Discover and digital wallets, are not supported at this time.

Credit Card Number

Credit Card Expiry Date (MM/YY)

Credit Card Security Code

Important: This is a 3-digit code on the back for Visa and Mastercard.

We only accept Visa and Mastercard.

Order Summary

Indiana Birth Certificate Qty: Not specified

Online Processing Fee: Not specified

Qualifying Review: Not specified

Indiana State & Agency Fee: Not specified

Shipping Fee: Not specified

Total: Not specified

IMPORTANT: The total price will be calculated and shown once all required fields on this order form have been completed.

Verify Order

1. I understand US Vital Certs offers professional advice and provides support to help eliminate errors when applying for vital certificates. US Vital Certs assists in verifying that applications are accurate to avoid delays in processing. US Vital Certs is not operated, licensed, or affiliated with any government agency.

2. I understand I will receive an email from the relevant government agency with instructions on how to send a copy of my government issued picture ID for verification.

3. I accept the Terms of Service, including the refund and cancellation policies.

Type your full name in the field below. Typing your full name constitutes a signature and an agreement that you have read and agreed to all the provisions above. It additionally affirms that all information provided on this order form is complete and accurate and that you are an authorized individual to obtain the requested vital certificate.

Type your full name in the field below to submit your order.

Before submitting your order, please take a moment to review your information.
Incorrect information provided will lead to delays and could possibly cancel your order.

Indiana Birth Certificate Order Form

Information About the Certificate

Information About the Requestor

Information About the Subject of the Certificate

Address & Contact Information

Shipping & Billing Address

Certified Copy of Indiana Birth Certificate

Credit Card Details

Order Summary

Verify Order

Possible Issues Detected

Verify Your Payment