Follow the steps to complete the death certificate request form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the 'Death Information' section. Enter the name of the deceased in the designated field and the date of death in the specified format. Indicate the place of death by checking the appropriate boxes for La Porte or Michigan City, and specify La Porte County.
3. In the same section, indicate the purpose for which the death certificate will be used by checking the relevant boxes such as insurance, taxes, or genealogy. Specify if you need multiple copies and make note of the corresponding fees for the certificates.
4. Proceed to the 'Applicant Information' section. Indicate your relationship to the deceased by checking the appropriate box or specifying your relationship in the 'Other' section. Fill in your printed name, sign the form, and provide your address details including street, city, state, and zip code.
5. Include a contact telephone number in the designated field to ensure proper communication regarding your request.
6. Review all the information provided to ensure accuracy. After confirming that all information is correctly filled out, save your changes, download the completed form, or print it for submission.
7. If you are submitting a mail-in request, be sure to include a self-addressed envelope for proper delivery of your request. Note that La Porte County Health Department cannot guarantee the delivery of requests sent via regular postal service.

Complete your death certificate request form online today to ensure timely processing.