Follow the steps to complete the request form effectively.

1. Click the ‘Get Form’ button to access the IN Death Certificate Request Form and open it in your preferred document editor.
2. In the first section labeled 'Name of Deceased', enter the full name of the person who has passed away. Ensure that the information is accurate and spelled correctly.
3. Proceed to the 'Date of Death' field. Enter the date the individual passed away, using the format MM/DD/YYYY for clarity.
4. Next, select the 'Place of Death' by indicating one of the options: LaPorte City, Michigan City, or LaPorte County. Mark the appropriate box.
5. In the 'Purpose' section, check all that apply for the request. Options include insurance, taxes, funeral home, social security, genealogy, personal property rights, stocks/bonds, and personal records.
6. Indicate the 'Number of Copies' needed. Make sure to consider that the first certified copy costs $10.00, each additional certified copy costs $8.00, and genealogy records (75 years or older) cost $3.00 each.
7. Complete the 'Signature' field by providing your signature. Underneath, indicate your 'Relationship to Deceased' to establish your eligibility to request the certificate.
8. Fill in your 'Street Address', 'City', 'State', and 'Zip' code to provide your contact details.
9. Finally, include your telephone number for follow-up communication or queries regarding the request.
10. After reviewing all the fields for accuracy, you can save your changes, download the completed form, print it, or share it as needed.

Begin your application process and request your death certificate online today.