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East Chicago Department of Public & Environmental Health fax number

(219) 391-8494

Public & Environmental Health

Used for: Birth certificate application / vital records request

Fax destination details

Department
Public & Environmental Health
Purpose
Birth certificate application / vital records request
Form
Birth Certificate Application — Request for Birth Certificate Application
Address
100 W. Chicago Avenue, Suite 100A, East Chicago, IN 46312
Voice phone
219-391-8467

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Complete the form with applicant's name at birth, birth details, relationship to the person, and purpose of the record; include valid ID as required; payment of $15 per copy by money order or cashier's check; mail the request with exact payment and a self-addressed stamped envelope.

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