Indiana form 54764 2026

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The document is an application form for searching the Marriage Index maintained by the Indiana State Department of Health. It outlines the process, fees, and requirements for obtaining marriage records, emphasizing that divorce records are not housed by this office. Identification is required for processing requests, and only certain individuals are eligible to receive marriage information.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the Groom’s Name in the designated fields: First, Middle, and Last. Ensure accuracy for proper record retrieval.
Next, fill in the Bride’s Name, including First, Middle, and Maiden names if applicable. This information is crucial for identifying the correct marriage record.
Provide the Date of Marriage using the format month, day, year. This helps narrow down the search effectively.
Indicate the County of Marriage and City of Marriage if known. This will assist in locating the records more efficiently.
Sign as the applicant and enter your Mailing Address. Remember that this must match your identification address for processing.
Lastly, include your Daytime Telephone Number and Today’s Date before submitting your application along with payment and identification.

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