Death Certificate Application

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***Please note that Morgan County only has birth and death records for people who were born or passed away within Morgan County, Indiana. If you are unsure whether the record exists in Morgan County, please call the office to verify: 765-342-6621.

AllPaid MUST be completed prior to filling out this form, and you must provide the AllPaid receipt transaction number to the correct field in this form. Upon completion of this form, you will be provided an email for where you must send a copy of the AllPaid receipt and your photo ID for your request to be completed.

AllPaid

Certified Copy of Death $18.00
Certified Genealogy Copy of Death $5.00
Print Out of Permanent Death Information $0.10 (Not Certified!)

To obtain a Certified Death Certificate, you must be able to complete the application in full and show proof that you have a direct interest (legal right) to the record and need the record to determine personal or property rights (IC 16-37-1-8). Example: Your name is on a vehicle title with the decedent; you have an insurance policy on the decedent listing you as beneficiary, etc.

* Denotes a required field
Application for Search of:*
Today's Date:*
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Date of Death*
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ZIP*
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Second portion of ZIP Code is optional.
Applicant's Phone:*
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By checking the box below, I hereby certify that I am the requestor named above and that I am authorized to request a certified copy of the record for the above named individual, in accordance with Indiana Code 16-37 and 410 Indiana Administrative Code 18. I understand that penalties are described by law for misrepresentation on this request.
I agree to the above statement:*
This office will only have death records for those persons who died in Morgan County, Indiana. If the person died in another county in Indiana, you may contact the local Health Department where the death occurred or contact the Indiana State Department of Health/ Vital Records to receive the record. If the person died outside of Indiana, you will need to contact officials in that jurisdiction for assistance.