Laporte County Health Department - La Porte, IN (Address and Phone) 2025

1. Click ‘Get Form’ to open the document in the editor.
2. Begin by filling out the 'Death Information' section. Enter the name of the deceased and the date of death in the provided fields.
3. Indicate the place of death by checking either 'La Porte' or 'Michigan City'. Ensure you also check 'La Porte County' as applicable.
4. In the 'Purpose for which Death Certificate is to be used' section, select all relevant options such as insurance, taxes, or genealogy by checking the appropriate boxes.
5. Specify the number of certificates needed and calculate your total fee based on $10.00 for the first certified copy and $8.00 for each additional copy.
6. Complete the 'Applicant Information' section by indicating your relationship to the deceased and providing your name, signature, address, and contact telephone number.
7. If mailing your request, ensure you include a self-addressed envelope for proper delivery.

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