Indiana
Joesph Matthew Jazz
Feb 19, 2007 7lbs 3oz 20in

Indiana - Putative Father Registry

Statutes: IC 31-19-9-12 and IC 31-19-5

Obtain the form from and return the form to:

Indiana State Department of Health

2 North Meridian Street

Indianapolis, IN 46204

Tel: 317-233-1325

Fax: 317-233-1289

Registration forms are available through the State Department of Health or any clerk of a circuit court, branch office of the bureau of motor vehicles, hospital, or local health department.

Submit a registration form by personal delivery, fax, mail, private courier, or express delivery.

Notarization required.

Cost: None indicated.



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