State Forms Online Catalog (All Agencies, All Formats)
For questions about specific forms (how to fill out a form, how to find a form that you do not see listed here), you will have to contact the agency which owns that form. The Commission on Public Records only provides a central posting-place for electronic forms, and is unable to answer questions regarding the functions of other agencies. For further information about individual forms, contact the forms coordinator for the agency which owns the form.
For questions about how to use this catalog, or to inform us of a technical problem, please send e-mail to the Forms Management Division.
TO SEARCH THIS CATALOG: From the toolbar in the Edit menu, select "Find". When the Find search box appears, enter a keyword or form number. The first search result will display with the keyword or number highlighted, at the top of the page. Click "Find next" until the desired form is highlighted.
For forms labeled "PDF", the free Adobe Acrobat Reader software is required to view and in some cases fill them out. Forms in other formats (MS Word, MS Excel, etc) are indicated where appropriate.
To open a form once you have chosen it, click on the linked State Form Number (such as 01365.pdf).
NOTE: Forms marked Read-Only cannot be filled-in by computer. They must be printed out to be used.
All-Agency, All-Formats Catalog
|
|
|
|
| IV-D Applicant Information | Dept. of Child Services - Child Support Bureau | 51802.pdf |
| 2007-08 Application for Remission of Fees for a Child of a Disabled Indiana Veteran or a POW/MIA (Read-Only) | Dept. of Veteran's Affairs | 20234.pdf |
| 2008 Stallion Directory Advertisement Reservation (Read-Only) | Horse Racing Commission | 53374.pdf |
| 302 Emergency Planning Notification (Read-Only) | Dept. of Environmental Management | 52016.pdf |
| 311 Reporting (Read-Only) | Dept. of Environmental Management | 52017.pdf |
| 319-A (Agriculture Cost-Share Form) Clean Water Act Section 319 Cost-Share Program (Read-Only) | Dept. of Environmental Management | 50065.pdf |
| 319-A (Agriculture Cost-Share Form) Clean Water Act Section 319 Cost-Share Program | Dept. of Environmental Management | 50065.doc |
| 319-U (Non-Agricultural) Landowner/User Application And Completion Certification (Read-Only) | Dept. of Environmental Management | 50063.pdf |
| 450B Attachment for the Aged and Disabled Waiver, the Medically Fragile Children Waiver, the TBI Waiver, and the AL and AFC Waiver | Family & Social Service Admin. - Division of Disability and Rehabilitation | 48115.pdf |
| 450B / PASARR2A Physician Certification for Long-Term Care Services | Family and Social Service Administration - Division of Disability and Rehabilitation | 38143.pdf |
| 6 Month (Or Other Planned) IFSP Review Cover Sheet | Family and Social Services Administration - DFR | 51840.pdf |
| Abandoned Tank Community Assistance Program | Dept. of Environmental Management | 49493.pdf |
| ABS-1 Application for Absentee Ballot | Election Division | 42106.pdf |
| ABS-1 Solicitud para Emitir un Voto en Ausencia | Election Division | 53369.pdf |
| ABS-2 Application for Absentee Ballot by Mail Only | Election Division | 47090.pdf |
| ABS-2 Solicitud de Voto en Ausencia por Correo Solamente | Election Division | 53368.pdf |
| ABS-3 Uniformed Services Voter Registration Certification | Election Division | 47002.pdf |
| ABS-11 Uniformed Services Voter Registration Certification (Read-Only) | Election Division | 51261.pdf |
| ABS-11 Uniformed Services Voter Registration Certification | Election Division | 51261.doc |
| ABS-13 Affidavit for Late Voter Registration by Absent Uniformed Services Voter for the Primary & General Election | Election Division | 51263.pdf |
| ABS-18 Notice to Absentee Voter to Supply Additional Documentation | Election Division | 51631.pdf |
| ABS-20 Affidavit of County Election Board or Absentee Voter Board Member Challenging Absentee Ballot Application | Election Division | 52410.pdf |
| Accountancy Application - Part I | Professional Licensing Agency | 49209.pdf |
| Active Member Data Change (Read-Only) | Teachers' Retirement Fund | 43567.pdf |
| Acuerdo de Responsibilidad Personal | Family and Social Service Administration | 47971.pdf |
| Adjacent Landowner/Occupant Affidavit (Read-Only) | Dept. of Environmental Management | 51872.pdf |
| Adjacent Landowner/Occupant Affidavit | Dept. of Environmental Management | 51872.doc |
| Adjacent Property Owners Listing - Form N4(Read-Only) | DNR, Division of Water | 52086.pdf |
| Admittance for Indiana Funeral Director Examination (Read-Only) | Professional Licensing Agency | 33289.pdf |
| Adoption History Registration Program Birth Parent Nonrelease Form (Read-Only) | Dept. of Health | 46392.pdf |
| Adoption Subsidy Agreement (Read-Only) | Dept. of Child Services - Child Welfare | 51887.pdf |
| Advice of Change | Dept. of Administration, Procurement Division | 00828.pdf |
| Advice of Change | Dept. of Administration, Procurement Division | 00828.xls |
| AEF-01 Alternate Emission Factor Request (Read-Only) | Dept. of Environmental Management | 51860.pdf |
| AEF-01 Alternate Emission Factor Request | Dept. of Environmental Management | 51860.doc |
| AES-01 Air Emission Statement Certification | Dept. of Environmental Management | 52052.pdf |
| AES-01 Air Emission Statement Certification | Dept. of Environmental Management | 52052.doc |
| AES-02 General Facility Information | Dept. of Environmental Management | 52053.pdf |
| AES-02 General Facility Information | Dept. of Environmental Management | 52053.doc |
| AES-03 Stack Information | Dept. of Environmental Management | 52054.pdf |
| AES-03 Stack Information | Dept. of Environmental Management | 52054.doc |
| AES-04 Abatement Equipment | Dept. of Environmental Management | 52055.pdf |
| AES-04 Abatement Equipment | Dept. of Environmental Management | 52055.doc |
| AES-05 Group/Process/Emissions Information | Dept. of Environmental Management | 52056.pdf |
| AES-05 Group/Process/Emissions Information | Dept. of Environmental Management | 52056.doc |
| AES-06 Voluntary Hazardous Air Pollutant Reporting (Read-Only) | Dept. of Environmental Management | 52057.pdf |
| AES-06 Voluntary Hazardous Air Pollutant Reporting | Dept. of Environmental Management | 52057.doc |
| Affidavit (Read-Only) | Bureau of Motor Vehicles | 37964.pdf |
| Affidavit (Read-Only) | Bureau of Motor Vehicles | 49555.pdf |
| Affidavit - Certificate of Use | Professional Licensing Agency | 47401.pdf |
| Affidavit - Hold Harmless (Read-Only) | Bureau of Motor Vehicles | 14302.pdf |
| Affidavit -- One and the Same Person (Read-Only) | Bureau of Motor Vehicles | 13637.pdf |
| Affidavit (Dealer) (Read-Only) | Bureau of Motor Vehicles | 46633.pdf |
| Affidavit Completion of Two Hundred Fifty Hours of Barber Instruction | Professional Licensing Agency | 47266.pdf |
| Affidavit for Change of Name | Dept. of Education | 47870.pdf |
| Affidavit for Inspection -- Antique Vehicle (Read-Only) | Bureau of Motor Vehicles | 37935.pdf |
| Affidavit for Lost or Not Received Warrant (Read-Only) | Auditor of State | 42850.pdf |
| Affidavit for Military Exemption from Excise Tax (Read-Only) | Bureau of Motor Vehicles | 46402.pdf |
| Affidavit For Replacement of Food Stamp Benefits (Read-Only) | Family and Social Services Administration/DFR | 40988.pdf |
| Affidavit for Transfer of Certification of Title for a Vehicle/Watercraft Without Administration | Bureau of Motor Vehicles | 18733.pdf |
| Affidavit for Use by Financial Institutions for Warrant Replacement (Read-Only) | Auditor of State | 50712.pdf |
| Affidavit for Use by Financial Institutions for Warrant Replacement | Auditor of State | 50712.doc |
| Affidavit of Applicant for Disability Benefit (Read-Only) | Teachers' Retirement Fund | 21703.pdf |
| Affidavit of Completion of Administrator-in-Training Program (Read-Only) | Professional Licensing Agency | 52640.pdf |
| Affidavit of Completion of One Hundred (100) Hours of Cosmetology Instruction (Read-Only) | Professional Licensing Agency | 51774.pdf |
| Affidavit of Completion of One Hundred (100) Hours of Manicuring Instruction (Read-Only) | Professional Licensing Agency | 51770.pdf |
| Affidavit of Completion of One Hundred Fifty (150) Hours of Instructor Training (Read-Only) | Professional Licensing Agency | 51771.pdf |
| Affidavit of Current Insurance "SR-50" (Read-Only) | Bureau of Motor Vehicles | 48483.pdf |
| Affidavit of Destroyed or Removed Property | Dept. of Local Government Finance | 51536.pdf |
| Affidavit of Distributee for Death Benefit of Deceased Member (Read-Only) | Teacher's Retirement Fund | 17294.pdf |
| Affidavit of Experience - Dietician Intern Training Program | Professional Licensing Agency | 47587.pdf |
| Affidavit of Experience - Pharmacist Intern Training Program | Professional Licensing Agency | 26877.pdf |
| Affidavit of Gross Retail and Use Tax (Read-Only) | Bureau of Motor Vehicles | 41806.pdf |
| Affidavit of Ownership for Motor Vehicle (Read-Only) | Bureau of Motor Vehicles | 23037.pdf |
| Affidavit of Ownership-Trailer (Read-Only) | Bureau of Motor Vehicles | 43753.pdf |
| Affidavit of Person, 65 Years of Age or More, Requesting Deduction from Assessed Valuation | Dept. of Local Government Finance | 43708.pdf |
| Affidavit of Police Officer, Physical Inspection of an Indiana Resident's Watercraft (Read-Only) | Bureau of Motor Vehicles | 39530.pdf |
| Affidavit of Restoration for a Salvage Motor Vehicle (Read-Only) | Bureau of Motor Vehicles | 44606.pdf |
| Affidavit of Revocation Financial Responsibility (Read-Only) | Bureau of Motor Vehicles | 45425.pdf |
| Affidavit of Supervision - Student Hearing Aid Dealer Certificate | Professional Licensing Agency | 50791.pdf |
| Affidavit of Work Experience (Read-Only) | Professional Licensing Agency | 45993.pdf |
| Affidavit: Applicant Notification to Adjoining Property Owners/Occupants | Dept. of Environmental Management | 49785.pdf |
| Agent's Registration | DNR, Forestry Division | 50312.pdf |
| Agreement for Release of Vital Statistics Data Tapes Containing Confidential Information | Dept. of Health | 44384.pdf |
| Agreement of Financial Liability (Read-Only) | Bureau of Motor Vehicles | 39531.pdf |
| Agreement to Compensation of Employee and Employer | Worker's Compensation Board | 01043.pdf |
| Air Permit Application Cover Sheet | Dept. of Environmental Management | 50639.pdf |
| Air Permit Application Cover Sheet | Dept. of Environmental Management | 50639.doc |
| Air Permit Application - Forms Checklist (Read-Only) | Dept. of Environmental Management | 51607.pdf |
| Air Permit Application - Forms Checklist | Dept. of Environmental Management | 51607.doc |
| Air Permit Application -- Renewal Checklist (Read-Only) | Dept. of Environmental Management | 51755.pdf |
| Air Permit Application - Renewal Checklist | Dept. of Environmental Management | 51755.doc |
| Airport Development Zone Business Personal Property Tax Credit (Form ADZ-1) | Dept. of Local Government Finance | 46560.pdf |
| Alzheimer's / Dementia Special Care Unit | Family and Social Service Admin. - Division of Disability and Rehabilitation | 48896.pdf |
| Amendment to Irrevocable Letter of Credit (LC-2) (Read-Only) | DNR - Div. of Reclamation | 50622.pdf |
| Annual Birthing Center Report | Dept. of Health | 52236.pdf |
| Annual IFSP Checklist | Family & Social Service Admin. / DFR | 51919.pdf |
| Annually Assessed Mobile Home Assessor's Book (Form 29 MH) | Dept. of Local Government Finance | 49865.doc |
| Annual Manifest Summary Report - OS (Read-Only) | Dept. of Environmental Management | 52717.pdf |
| Annual Manifest Summary Report - OS | Dept. of Environmental Management | 52717.doc |
| Annual Manifest Summary Report - WG (Read-Only) | Dept. of Environmental Management | 52718.pdf |
| Annual Manifest Summary Report - WG | Dept. of Environmental Management | 52718.doc |
| Annual Nonprofit Hospital Community Benefit Statement (Read-Only) | Dept. of Health | 50654.pdf |
| Annual Report - Concentrated Animal Feeding Operations (Read-Only) | Dept. of Environmental Management | 52510.pdf |
| Annual Report - Concentrated Animal Feeding Operations | Dept. of Environmental Management | 52510.doc |
| Annual Report of Comprehensive Long Term Care Facility (Read-Only) | Dept. of Health | 50834.pdf |
| Annual Report of Departmental Data | Law Enforcement Academy | 46241.pdf |
| Annual Report of Funeral Trust Funds | Professional Licensing Agency | 45266.pdf |
| Annual Report on Training Status | Law Enforcement Academy | 46177.pdf |
| Annual Report Pursuant to IC 30-2-13 | Professional Licensing Agency | 45279.pdf |
| Annual Report - Railroad Property (Form 32) (Read-Only) | Dept. of Local Government Finance | 31289.pdf |
| Annual Report Regarding Foster Family Home | Dept. of Child Services - Child Welfare | 53213.pdf |
| Annual Report (UD Form 45) (Read-Only) | Dept. of Local Government Finance | 40408.pdf |
| Annual Tire Summary (Read-Only) | Dept. of Environmental Management | 52716.pdf |
| Annual Tire Summary | Dept. of Environmental Management | 52716.doc |
| Annual Watershed Land Treatment Project Application | Dept. of Natural Resources - Division of Fish & Wildlife | 50315.doc |
| Aplicacion Y Referido DDARS (Read-Only) | Family and Social Service Admin. - Division of Disability and Rehabilitation | 47131.pdf |
| Applicant Background Record Checklist | State Personnel Department | 53390.pdf |
| Applicant Background Record Checklist | State Personnel Department | 53390.doc |
| Applicant Disclosure and Release for Consumer and Investigative Consumer Reports | State Personnel Department | 51334.pdf |
| Applicant Disclosure and Release for Consumer and Investigative Consumer Reports | State Personnel Department | 51334.doc |
| Applicant Job Search Referral (Read-Only) | FSSA - Division of Family Resources | 48190.pdf |
| Applicant Job Search Rights and Responsibilities (Read-Only) | FSSA - Division of Family Resources | 48191.pdf |
| Application & Approval for Admission (Read-Only) | Dept. of Health | 52397.pdf |
| Application and Claim for Funds to Defray Burial Costs - Medicaid Aged, Blind and Disabled Recipients | Family and Social Service Administration | 35937.pdf |
| Application & Notice of Service Cessation & Relinquishment of Provider of Last Resort Obligations within the State of Indiana | Utility Regulatory Commission | 52714.pdf |
| Application by an Indiana Bank Holding Company (Read-Only) | Dept. of Financial Institutions | 48001.pdf |
| Application Checklist for Asbestos Contractor | Dept. of Environmental Management | 52571.doc |
| Application Checksheet for Lead Contractor | Dept. of Health | 50745.pdf |
| Application for Absentee Ballot By Mail | Election Division | 47090.pdf |
| Application For Acceptance of Real Estate College Course Credits (Read-Only) | Professional Licensing Agency | 50669.pdf |
| Application For Accountancy Firm Permit | Professional Licensing Agency | 46609.pdf |
| Application For Activation Of An Inactive CPA/PA/AP License | Professional Licensing Agency | 48541.pdf |
| Application for a Certificate of Franchise Authority to Provide Video Service in the State of Indiana | Utility Regulatory Commission | 52712.pdf |
| Application for a Certification of Territorial Authority | Utility Regulatory Commission | 52648.pdf |
| Application for Adjustment of Claim For Provider Fee (Read-Only) | Workers' Compensation Board | 18487.pdf |
| Application for Absentee Ballot By Mail | Election Division | 47090.pdf |
| Application for Activation of a Cosmetology Professional License | Professional Licensing Agency | 49638.pdf |
| Application for Activation of a Land Surveyor - Certificate of Registration (Read-Only) | Professional Licensing Agency | 51185.pdf |
| Application for Additional Dealer Plates (Read-Only) | Bureau of Motor Vehicles | 12798.pdf |
| Application for Adjustment of Claim (Read-Only) | Worker's Compensation Board | 29109.pdf |
| Application For Admission of a Foreign Corporation | Dept. of Financial Institutions | 18572.pdf |
| Application for Affidavit to Transfer to Real Estate | Bureau of Motor Vehicles | 51408.pdf |
| Application For Agent's Permit | Commission on Proprietary Education | 39286.pdf |
| Application For Agent's Renewal Permit | Commission on Proprietary Education | 41429.pdf |
| Application for a License to Conduct a School of Barbering in the State of Indiana | Professional Licensing Agency | 44671.pdf |
| Application for a License to Operate a Private Secure Facility | Dept. of Child Services - Child Welfare | 45159.pdf |
| Application for a License to Practice Dentistry or Dental Hygiene | Professional Licensing Agency | 42127.pdf |
| Application for a License to Practice Medicine/Osteopathic Medicine in Indiana | Professional Licensing Agency | 29495.pdf |
| Application for a License to Practice Veterinary Medicine (Read-Only) | Professional Licensing Agency | 44614.pdf |
| Application for a Limited License to Participate in a Postgraduate Training Program for Podiatric Medicine | Professional Licensing Agency | 50318.pdf |
| Application for a Limited Temporary Permit to Practice Chiropractic | Professional Licensing Agency | 51116.pdf |
| Application for Amended Certificate of Authority (Foreign Corporation) (Read-Only) | Secretary of State | 39034.pdf |
| Application for Amended Certificate of Authority (Foreign Limited Liability Company) (Read-Only) | Secretary of State | 49462.pdf |
| Application for Amusement Entertainment Permit | Dept. of Homeland Security | 42235.pdf |
| Application for an Historical Marker (Read-Only) | Historical Bureau | 45937.pdf |
| Application for an Incidental Boundary Revision to a Previously Approved Permit (Read-Only) | DNR - Div. of Reclamation | 50617.pdf |
| Application for Annual Permit to Operate Amusement Device | Dept. of Homeland Security | 00323.pdf |
| Application for a Non-Renewable Limited Scope Temporary Medical License | Professional Licensing Agency | 26138.pdf |
| Application for a permit (R-100) (Read-Only) | DNR - Div. of Reclamation | 02192.pdf |
| Application for Apiary Registration (Read-Only) | DNR - Div. of Entomology and Plant Pathology | 47075.pdf |
| Application for Appraisal Certification by Reciprocity (Read-Only) | Professional Licensing Agency | 51140.pdf |
| Application for Approval of an Individual or Organization to Provide Continuing Education Courses for Dentists and Dental Hygienists (Read-Only) | Professional Licensing Agency | 50327.pdf |
| Application for Approval of a Study Club to Provide Continuing Education Courses (Read-Only) | Professional Licensing Agency | 50326.pdf |
| Application For Approval of Auctioneer Prelicensing Course Provider Or Continuing Education Course Sponsor | Professional Licensing Agency | 47919.pdf |
| Application For Approval Of Continuing Education Courses for Psychologists | Professional Licensing Agency | 50257.pdf |
| Application For Approval Of Continuing Education Programs For Chiropractors (Read-Only) | Professional Licensing Agency | 50713.pdf |
| Application for Approval of Continuing Education Programs for Optometrist (Read-Only) | Professional Licensing Agency | 50714.pdf |
| Application For Approval Of Continuing Education Programs For Podiatric Medicine (Read-Only) | Professional Licensing Agency | 50690.pdf |
| Application For Approval Of Continuing Education Programs For Respiratory Care Practitioners (Read-Only) | Professional Licensing Agency | 50323.pdf |
| Application for Approval of Continuing Education Programs for Veterinarians and Veterinary Technicians (Read-Only) | Professional Licensing Agency | 51115.pdf |
| Application For Approval of Cosmetology Educator For Continuing Education (Read-Only) | Professional Licensing Agency | 47837.pdf |
| Application for Approval of Land Surveyor Continuing Education Provider | Professional Licensing Agency | 49990.pdf |
| Application for Approval of Loan Broker Academic Instruction Course | Secretary of State | 53272.pdf |
| Application for Approval of Plumbing Apprentice School | Professional Licensing Agency | 49995.pdf |
| Application For Approval of Professional Supervision For Continuing Education Credit for Psychologists | Professional Licensing Agency | 50256.pdf |
| Application For Approval of Real Estate Appraiser Continuing Education Course Provider (Read-Only) | Professional Licensing Agency | 45665.pdf |
| Application for Approval of Real Estate Appraiser School or Course (Read-Only) | Professional Licensing Agency | 45666.pdf |
| Application for Approval of Real Estate Continuing Education Course Sponsor | Professional Licensing Agency | 46182.pdf |
| Application for Approval of Real Estate Salesperson/Broker's Course | Professional Licensing Agency | 36071.pdf |
| Application For Approval of Real Estate School Site (Read-Only) | Professional Licensing Agency | 42252.pdf |
| Application For Approval of the Qualified Medication Aide Course (Read-Only) | Dept. of Health | 51118.pdf |
| Application for Approval of Training for Continuing Education - Drinking Water (Read-Only) | Dept. of Environmental Management | 45675.pdf |
| Application for Approval of Training for Wastewater Operator/Apprentice Continuing Education Credit | Dept. of Environmental Management | 51138.pdf |
| Application for Approval to Conduct Coal Exploration Activities (Read-Only) | DNR - Div. of Reclamation | 50616.pdf |
| Application for Approval to Provide Category I Continuing Education for LSW / LCSW / LMFT / LMHC | Professional Licensing Agency | 50841.pdf |
| Application for Approval to Provide Category I Continuing Education for Psychologists | Professional Licensing Agency | 50328.pdf |
| Application for Approval to Use Water Treatment Additives | Dept. of Environmental Management | 50000.pdf |
| Application for Approval to Utilize Electronic Daily Dispensing System | Professional Licensing Agency | 51060.pdf |
| Application for Architect Corporation License | Professional Licensing Agency | 44867.pdf |
| Application for Architect Examination (Read-Only) | Professional Licensing Agency | 45691.pdf |
| Application for Architect Registration (Read-Only) | Professional Licensing Agency | 01576.pdf |
| Application for Asbestos Contractor License | Dept. of Environmental Management | 52575.doc |
| Application for Asbestos Training Course - Provider Approval | Dept. of Environmental Management | 48741.doc |
| Application for Assigned Hull Identification Number (Read-Only) | Bureau of Motor Vehicles | 43725.pdf |
| Application for Assistance - Part 3 - Client Certification and Assignment (Read-Only) | FSSA - Division of Family Resources | 47991.pdf |
| Application for a Student Hearing Aid Dealer Certificate | Professional Licensing Agency | 50686.pdf |
| Application for a Temporary Medical Permit (For Postgraduate Training or Teaching) | Professional Licensing Agency | 17598.pdf |
| Application for Athletic Trainers License | Professional Licensing Agency | 46715.pdf |
| Application for Auctioneer License Activation | Professional Licensing Agency | 48911.pdf |
| Application for Auction House/Company License | Professional Licensing Agency | 18476.pdf |
| Application for Authorization to Discharge Dredged or Fill Material to Isolated Wetlands and/or Waters of the State | Dept. of Environmental Management | 51821.pdf |
| Application for a Wastewater Management Business Permit & Vehicle License (Read-Only) | Dept. of Environmental Management | 50399.doc |
| Application for a Wastewater Management Land Application Site Permit (Read-Only) | Dept. of Environmental Management | 50403.doc |
| Application for a Wastewater Management Storage / Treatment Facility Permit (Read-Only) | Dept. of Environmental Management | 50402.doc |
| Application For Barber Instructor License by Recipocity | Professional Licensing Agency | 51773.pdf |
| Application For Barber Professional Temporary Permit (Read-Only) | Professional Licensing Agency | 51772.pdf |
| Application for Barber Shop License (Read-Only) | Professional Licensing Agency | 26770.pdf |
| Application for Benefits from Violent Crimes Compensation Fund | Criminal Justice Institute | 23776.pdf |
| Application For Biodiesel Credit Certification (Read-Only) | Economic Development Corporation | 52301.pdf |
| Application for Blind or Disabled Person's Deduction from Assessed Valuation | Dept. of Local Government Finance | 43710.pdf |
| Application for Blue River Permit (Read-Only) | DNR, Outdoor Recreation | 37733.pdf |
| Application for Blue River Permit | Dept. of Natural Resources - Division of Outdoor Recreation | 37733.doc |
| Application for Boxer License or Renewal of License | Professional Licensing Agency | 45727.pdf |
| Application for Burial, Indiana Veterans Memorial Cemetary (Read-Only) | Dept. of Veteran's Affairs | 48554.pdf |
| Application for Cemetery Registration (Read-Only) | Professional Licensing Agency | 47332.pdf |
| Application for Certificate of Authority | Professional Licensing Agency | 48961.pdf |
| Application for Certificate of Authority of a Foreign Corporation | Secretary of State | 38784.pdf |
| Application for Certificate of Authority of a Foreign Limited Liability Company | Secretary of State | 49464.pdf |
| Application for Certificate of Authority of a Foreign NonProfit Organization (Read-Only) | Secretary of State | 37035.pdf |
| Application for Certificate of Title (Read-Only) | Bureau of Motor Vehicles | 44049.pdf |
| Application for Certificate of Withdrawal of a Foreign Corporation (Read-Only) | Secretary of State | 39077.pdf |
| Application for Certificate of Withdrawal of a Foreign Limited Liability Corporation | Secretary of State | 49461.pdf |
| Application for Certification (Read-Only) | Dept. of Administration-Minority Business | 46250.pdf |
| Application for Certification as a Pharmacy Technician (CPT) | Professional Licensing Agency | 51635.pdf |
| Application for Certification as a Physician Assistant | Professional Licensing Agency | 09237.pdf |
| Application for Certification as a Respiratory Care Practitioner | Professional Licensing Agency | 43825.pdf |
| Application for Certification as an Acupuncture Detox Specialist | Professional Licensing Agency | 50711.pdf |
| Application for Certification as an Occupational Therapist or Occupational Therapy Assistant | Professional Licensing Agency | 43826.pdf |
| Application for Certification of Engineering Intern (Read-Only) | Professional Licensing Agency | 09101.pdf |
| Application for Certification of Land Surveyor-in-Training | Professional Licensing Agency | 49328.pdf |
| Application For Certification or Licensure | Family and Social Service Admin. - DMHA | 48161.pdf |
| Application for Certification to Practice Hypnotism | Professional Licensing Agency | 48168.pdf |
| Application for Change or Addition of Supervising Physician for Physician Assistants | Professional Licensing Agency | 42907.pdf |
| Application for Charter Boat Operator's License (Read-Only) | DNR - Fish and Wildlife | 25298.pdf |
| Application for Chiropractic License | Professional Licensing Agency | 05174.pdf |
| Application for Child Abuse Research (Read-Only) | Dept. of Child Services - Child Welfare | 00116.pdf |
| Application for Cigarette Importer or Manufacturer's License | Alcohol and Tobacco Commission | 52632.pdf |
| Application For Collection Agency License | Secretary of State | 40495.pdf |
| Application for Commercial Fishing License on Ohio River (Read-Only) | DNR - Fish and Wildlife | 23742.pdf |
| Application for Construction Permit (Read-Only) | Dept. of Health | 50098.pdf |
| Application for Construction Permit for an Acute Care Facility (Read-Only) | Dept. of Health | 50097.pdf |
| Application for Construction Permit For Child Care Facility (Read-Only) | Dept. of Health | 49454.pdf |
| Application for Construction Permit For Long-Term Care Facilities (Read-Only) | Dept. of Health | 49453.pdf |
| Application for Construction Permit for Private Mental Health Institutions (Read-Only) | Dept. of Health | 52047.pdf |
| Application for Construction Permit For Public Water System | Dept. of Environmental Management | 35058.pdf |
| Application for Construction Permit For School Facilities (Read-Only) | Dept. of Health | 50231.pdf |
| Application for Corporate Plumbing Contractor License (Read-Only) | Professional Licensing Agency | 11812.pdf |
| Application for Cosmetology Continuing Education Instructor | Professional Licensing Agency | 49529.pdf |
| Application For Cosmetology Instructor By Reciprocity | Professional Licensing Agency | 46041.pdf |
| Application for Cosmetology License by Reciprocity | Professional Licensing Agency | 43493.pdf |
| Application for Cosmetology Professional Temporary Permit (Read-Only) | Professional Licensing Agency | 51120.pdf |
| Application for Cosmetology Salon License | Professional Licensing Agency | 38924.pdf |
| Application For Cosmetology School License (Read-Only) | Professional Licensing Agency | 45654.pdf |
| Application for Dealer Plates (Read-Only) | Bureau of Motor Vehicles | 23350.pdf |
| Application for Deduction from Assessed Valuation - Maritime Opportunity District (Form MOD-1) | Dept. of Local Government Finance | 42963.pdf |
| Application for Deduction from Assessed Valuation of Rehabilitated Property (Form 322A) | Dept. of Local Government Finance | 49567.pdf |
| Application for Deduction from Assessed Valuation of Structures in Economic Revitalization Areas (ERA) (Form 322 / RE) This form is subject to change by the legislature. | Dept. of Local Government Finance | 18379.pdf |
| Application for Deduction from Assessed Valuation / Real Property Investment Deduction (Form RPID-1) | Dept. of Local Government Finance | 52504.pdf |
| Application for Deduction from Assessed Valuation - Real Property Vacant Building Deduction (Form 322 / VBD) | Dept. of Local Government Finance | 53179.pdf |
| Application For Delayed High School Diploma (Read-Only) | Dept. of Veterans' Affairs | 50900.pdf |
| Application For Direct Deposit (Read-Only) | Teachers' Retirement Fund | 47144.pdf |
| Application For Direct Deposit | Teachers' Retirement Fund | 47144.doc |
| Application for Disability Parking Placard or Disability Plate (Read-Only) | Bureau of Motor Vehicles | 42070.pdf |
| Application for Disposal Plant License (Read-Only) | Board of Animal Health | 48563.pdf |
| Application For Dog Training Ground Permit (Read-Only) | DNR - Fish and Wildlife | 45231.pdf |
| Application for Duplicate Asbestos License | Dept. of Environmental Management | 48740.doc |
| Application for Duplicate Lead License | Dept. of Health | 50746.pdf |
| Application for Duplicate License (Read-Only) | DNR, Fish and Wildlife | 42480.pdf |
| Application for Duplicate of Indiana Teaching Administration or School Services License Only | Dept. of Education | 46701.pdf |
| Application for Duplicate or Replacement License Plate (Read-Only) | Bureau of Motor Vehicles | 37135.pdf |
| Application For Electrology Salon (Read-Only) | Professional Licensing Agency | 45241.pdf |
| Application for Emergency Medical Technician | Dept. of Homeland Security | 00555.pdf |
| Application for Emergency Permit | Dept. of Education | 46698.pdf |
| Application for Employee Permit (Read-Only) | Alcohol and Tobacco Commission | 00043.pdf |
| Application for Employment (Bureau of Motor Vehicles Commission) (Read-Only) | Bureau of Motor Vehicles | 46230.pdf |
| Application for Endorsement as a Health Service Provider in Psychology (HSPP) | Professional Licensing Agency | 20231.pdf |
| Application For Esthetic Salon License (Read-Only) | Professional Licensing Agency | 45242.pdf |
| Application For Ethanol Credit Certification (Read-Only) | Economic Development Corporation | 52302.pdf |
| Application for Examination for Auctioneer Licence, License By Reciprocity, or Temporary Permit | Professional Licensing Agency | 18479.pdf |
| Application for Examination for Barber Instructor Registration | Professional Licensing Agency | 45303.pdf |
| Application for Examination for Cosmetologist & Manicurist License | Professional Licensing Agency | 15969.pdf |
| Application for Examination for Cosmetology, Esthetics, or Electrology Instructor License (Read-Only) | Professional Licensing Agency | 45245.pdf |
| Application for Examination for Esthetician or Electrologist (Read-Only) | Professional Licensing Agency | 45244.pdf |
| Application for Expanding Markets for Indiana Livestock Producers (Section 2) (Read-Only) | Office of the Commissioner of Agriculture | 50425.pdf |
| Application for Extension of Time to File Indiana EZB-R (Read-Only) | Economic Development Corporation | 50468.pdf |
| Application for Federal Excess Personal Property | DNR, Forestry Division | 50311.pdf |
| Application for Federal Professional Qualifications Documentation for Archaeology (Read-Only) | DNR--Division of Historic Preservation and Archaeology | 52779.pdf |
| Application for Federal Professional Qualifications Documentation for Architectural History (Read-Only) | DNR--Division of Historic Preservation and Archaeology | 52781.pdf |
| Application for Federal Professional Qualifications Documentation for Architecture (Read-Only) | DNR--Division of Historic Preservation and Archaeology | 52780.pdf |
| Application for Federal Professional Qualifications Documentation for Historic Architecture (Read-Only) | DNR--Division of Historic Preservation and Archaeology | 53138.pdf |
| Application for Federal Professional Qualifications Documentation for History (Read-Only) | DNR--Division of Historic Preservation and Archaeology | 52782.pdf |
| Application for Firefighter Certification (Read-Only) | Dept. of Homeland Security | 46662.doc |
| Application for Fireworks Stand Retail Sales Permit (Read-Only) | Dept. of Homeland Security | 11622.pdf |
| Application for Fishing Tournament on Public Waters (Read-Only) | DNR - Division of Law Enforcement | 52398.pdf |
| Application for Falconry License (Read-Only) | DNR, Fish and Wildlife | 27021.pdf |
| Application for Fish Stocking Permit (Read-Only) | DNR, Fish and Wildlife | 47056.pdf |
| Application for Foster Family Home License (Read-Only) | Dept. of Child Services - Child Welfare | 10100.pdf |
| Application For Funeral Director Examination (Read-Only) | Professional Licensing Agency | 45267.pdf |
| Application For Funeral Director Intern License (Read-Only) | Professional Licensing Agency | 28138.pdf |
| Application For Funeral Home Branch License (Read-Only) | Professional Licensing Agency | 48444.pdf |
| Application for Funeral Home License (Read-Only) | Professional Licensing Agency | 45268.pdf |
| Application For Funeral Home Restoration (Read-Only) | Professional Licensing Agency | 45269.pdf |
| Application for Game Breeder's License (Read-Only) | DNR, Fish and Wildlife | 03069.pdf |
| Application for Guaranteed Auto Protection (GAP) Program | Dept. of Financial Institutions | 51819.pdf |
| Application for Grave Memorial Removal (IC 14-21-2) - (Read-Only) | DNR, Division of Historic Preservation and Archaeology | 52492.xls |
| Application for Grave Memorial Removal (IC 14-21-2) (Read-Only) | DNR--Division of Historic Preservation and Archaeology | 52492.pdf |
| Application for Health Facility Administrator Provisional License | Professional Licensing Agency | 52569.pdf |
| Application for Historic Rehabilitation Tax Credit Certification (Read-Only) | DNR--Division of Historic Preservation and Archaeology | 51300.pdf |
| Application for Hoosier Healthwise for Children and Pregnant Women (Read-Only) | FSSA - Division of Family Resources | 43202.pdf |
| Application for Indiana Controlled Substances Registration (CSR) for Practitioners | Professional Licensing Agency | 34617.pdf |
| Application for Indiana Controlled Substances Registration for Non-Practitioners | Professional Licensing Agency | 52616.pdf |
| Application for Indiana Dietitian Certification | Professional Licensing Agency | 47586.pdf |
| Application for Indiana Intern Training and Experience Record | Professional Licensing Agency | 44738.pdf |
| Application for Indiana Substitute Teaching Permit | Dept. of Education | 46700.pdf |
| Application for Indiana Teaching, Administration, or School Services License | Dept. of Education | 09331.pdf |
| Application for Individual Asbestos License | Dept. of Environmental Management | 43786.doc |
| Application for Individual Lead License (Read-Only) | Dept. of Health | 49240.pdf |
| Application for Individual Lead License | Dept. of Health | 49240.doc |
| Application for Industrial Wastewater Pretreatment (IWP) Permit | Dept. of Environmental Management | 50271.pdf |
| Application for Industrial Wastewater Treatment Construction Permit per 327 IAC 3 | Dept. of Environmental Management | 53161.doc |
| Application for Inspection of Moisture Testing Equipment | Dept. of Agriculture | 00516.pdf |
| Application for Installation or Alteration Permit | Dept. of Homeland Security | 38299.pdf |
| Application For Instructor Approval (Read-Only) | Professional Licensing Agency | 43492.pdf |
| Application for Insulin and Township Claim (Read-Only) | Dept. of Health | 00687.pdf |
| Application for Interim Plates (Read-Only) | Bureau of Motor Vehicles | 22465.pdf |
| Application For Issuance Of Funeral Director License By Reciprocity (Read-Only) | Professional Licensing Agency | 45265.pdf |
| Application For Journeyman Plumber Examination For Licensing (Read-Only) | Professional Licensing Agency | 40602.pdf |
| Application for Landscape Architect Examination (Read-Only) | Professional Licensing Agency | 50153.pdf |
| Application for Landscape Architect Registration (Read-Only) | Professional Licensing Agency | 43741.pdf |
| Application for Lead-Based Training Course - Provider Approval (Read-Only) | Dept. of Health | 50747.pdf |
| Application for Lead-Based Training Course - Provider Approval | Dept. of Health | 50747.doc |
| Application for Lead Contractor License (Read-Only) | Dept. of Health | 48739.pdf |
| Application for Lead Contractor License | Dept. of Health | 48739.doc |
| Application for License Activation (Read-Only) | Professional Licensing Agency | 47330.pdf |
| Application for License Approval to Operate a Hospice Program (pursuant to IC 16-25-3) (Read-Only) | Dept. of Health | 43813.pdf |
| Application for License or Renewal of License for Trainer, Manager, Matchmaker, or Second | Professional Licensing Agency | 45729.pdf |
| Application for License or Renewal of License: Referee, Judge, Timekeeper | Professional Licensing Agency | 45728.pdf |
| Application for License to Operate a Birthing Center | Dept. of Health | 52235.pdf |
| Application for License to Operate a Blood Center | Dept. of Health | 49621.pdf |
| Application for License to Operate a Health Facility | Dept. of Health | 08200.pdf |
| Application for License to Operate a Health Facility | Dept. of Health | 08200.doc |
| Application for License to Operate a Home Health Agency (pursuant to IC 16-27 and 410 IAC 17) (Read-Only) | Dept. of Health | 04008.doc |
| Application for License to Operate a Hospital Pursuant to IC 16-21-2 | Dept. of Health | 44885.pdf |
| Application for License to Operate an Abortion Clinic | Dept. of Health | 52233.pdf |
| Application for License to Operate an Ambulatory Outpatient Surgical Center | Dept. of Health | 09340.pdf |
| Application for License to Operate a Personal Services Agency | Dept. of Health | 53391.pdf |
| Application for License to Practice Speech-Language Pathology or Audiology | Professional Licensing Agency | 37911.pdf |
| Application for Licensure as a Barber | Professional Licensing Agency | 01877.pdf |
| Application for Licensure as a Clinical Social Worker (LCSW) | Professional Licensing Agency | 50325.pdf |
| Application for Licensure as a Health Facility Administrator | Professional Licensing Agency | 42075.pdf |
| Application for Licensure as a Home Inspector | Professional Licensing Agency | 53175.pdf |
| Application for Licensure as a Home Medical Equipment Service Provider | Professional Licensing Agency | 52525.pdf |
| Application for Licensure as a Marriage and Family Therapist (LMFT) | Professional Licensing Agency | 50710.pdf |
| Application for Licensure as a Mental Health Counselor (LMHC) | Professional Licensing Agency | 50319.pdf |
| Application For Licensure As An Acupuncturist/Professional Acupuncturist | Professional Licensing Agency | 50694.pdf |
| Application for Licensure as a Physical Therapist or Physical Therapist's Assistant | Professional Licensing Agency | 09111.pdf |
| Application for Licensure as a Private Investigator Firm | Professional Licensing Agency | 53325.pdf |
| Application for Licensure as a Real Estate Salesperson or Broker | Professional Licensing Agency | 44176.pdf |
| Application for Licensure as a Security Guard Agency | Professional Licensing Agency | 53326.pdf |
| Application for Licensure as a Social Worker (LSW) | Professional Licensing Agency | 50324.pdf |
| Application for Licensure as a Wholesale Drug Distributor | Professional Licensing Agency | 47228.pdf |
| Application for Licensure by Endorsement as a Nurse | Professional Licensing Agency | 50027.pdf |
| Application for Licensure by Examination for Graduates of Foreign Nursing Schools (Read-Only) | Professional Licensing Agency | 50023.pdf |
| Application for Licensure by Examination for Graduates of U.S. Nursing Schools | Professional Licensing Agency | 50024.pdf |
| Application for Licensure to Practice Psychology in Indiana | Professional Licensing Agency | 27522.pdf |
| Application for Limited License to Practice Nurse-Midwifery | Professional Licensing Agency | 50026.pdf |
| Application for Listing as a Qualified Inspector for Drug Lab Cleanup (Read-Only) | Dept. of Environmental Management | 53316.pdf |
| Application for Listing as a Qualified Inspector for Drug Lab Cleanup | Dept. of Environmental Management | 53316.doc |
| Application for Livestock Brand Registration | Board of Animal Health | 00550.pdf |
| Application for Livestock Dealer License (Read-Only) | Board of Animal Health | 18496.pdf |
| Application for Livestock Industry Promotion (Section 1) (Read-Only) | Office of the Commissioner of Agriculture | 50424.pdf |
| Application for Loan License | Dept. of Financial Institutions | 18542.pdf |
| Application for Long-Term Care Services (Read-Only) | Family and Social Service Admin. - Division of Disability and Rehabilitation | 45943.pdf |
| Application For Long Term Care Services - Mental Health Hospitalised Waiver (Read-Only) | Family and Social Service Admin. - DMHA | 51550.pdf |
| Application For Manicurist Salon License (Read-Only) | Professional Licensing Agency | 45243.pdf |
| Application for Marriage License(Read-Only) | Dept. of Health | 53394.doc |
| Application for Membership in the 1977 Police Officers' & Firefighters' Pension & Disability Fund (Read-Only) | Public Employees' Retirement Fund | 04928.pdf |
| Application for Motor Vehicle Business License (Read-Only) | Bureau of Motor Vehicles | 13215.pdf |
| Application for New Commercial Driver Training Instructor (Read-Only) | Bureau of Motor Vehicles | 50515.pdf |
| Application For New or Transfer Permit (Read-Only) | Alcohol and Tobacco Commission | 51189.pdf |
| Application for New Pawnbroking Location | Dept. of Financial Institutions | 50290.pdf |
| Application for Nursery Dealer's License (Read-Only) | DNR - Division of Entomolgy and Plant Pathology | 42898.pdf |
| Application for Optometric Legend Drug Certificate | Professional Licensing Agency | 45276.pdf |
| Application for Optometry License | Professional Licensing Agency | 00007.pdf |
| Application for or Renewal of Registration as an Apprentice Plumber (Read-Only) | Professional Licensing Agency | 02557.pdf |
| Application for Pawnbroking License | Dept. of Financial Institutions | 50292.pdf |
| Application for Permit for Fishing Tournaments on Designated Public Waters | DNR, Fish and Wildlife | 41644.pdf |
| Application For Permit For Nonresident Broker To Act As An Indiana Principal Broker (Read-Only) | Professional Licensing Agency | 43363.pdf |
| Application For Permit - Supervised Public Display of Fireworks (Read-Only) | Dept. of Homeland Security | 01617.pdf |
| Application for Permit to Administer Anesthesia and Sedation (Read-Only) | Professional Licensing Agency | 46159.pdf |
| Application for Permit to Disinter, Remove, and Reinter Human Remains | Dept. of Health | 38697.doc |
| Application For Permit To Hold Particular Boxing or Sparring Match or Exhibition (Read-Only) | Professional Licensing Agency | 13255.pdf |
| Application For Permit To Move Or Release Plant Pests And Pathogens, Weeds, & Beneficial Organisms (Read-Only) | DNR - Division of Entomolgy and Plant Pathology | 51859.pdf |
| Application for Permit to Operate Maintain, Open or Establish a Pharmacy in the State of Indiana | Professional Licensing Agency | 30410.pdf |
| Application for Pharmacist Intern Registration | Professional Licensing Agency | 12567.pdf |
| Application for Pharmacist's License | Professional Licensing Agency | 36028.pdf |
| Application for Physician License or Renewal of License for Boxing Matches | Professional Licensing Agency | 45723.pdf |
| Application For Plan Review (Read-Only) | State Dept. of Health | 50033.pdf |
| Application for Plumbing Contractor Examination for Licensing (Read-Only) | Professional Licensing Agency | 22806.pdf |
| Application for Podiatry License | Professional Licensing Agency | 27521.pdf |
| Application for Position Change or Replacement Badge (Read-Only) | Gaming Commission | 53543.pdf |
| Application for Prescriptive Authority as an Advanced Practice Nurse | Professional Licensing Agency | 50025.pdf |
| Application for Prescriptive Authority for a Physician Assistant | Professional Licensing Agency | 53314.pdf |
| Application For Promoter's License To Hold Boxing or Sparring Matches or Exhibitions | Professional Licensing Agency | 45726.pdf |
| Application for Property Tax Exemption | Dept. of Local Government Finance | 09284.pdf |
| Application for Provisional Wastewater Treatment Plant Operator Certification (Read-Only) | Dept. of Environmental Management | 51494.pdf |
| Application for Public Library Certificate | Indiana State Library | 26859.xls |
| Application for Public Library Certificate(Read-Only) | Indiana State Library | 26859.pdf |
| Application for Radiology License or Permit (Read-Only) | State Dept. of Health | 27068.pdf |
| Application for Radon Tester/Mitigator Certification (Read-Only) | Dept. of Health | 45703.pdf |
| Application for Reactivation of Inactive Real Estate Appraiser License (Read-Only) | Professional Licensing Agency | 46467.pdf |
| Application For Real Estate Appraiser Certification | Professional Licensing Agency | 45016.pdf |
| Application for Real Estate Appraiser Continuing Education Course | Professional Licensing Agency | 53496.pdf |
| Application for Real Estate Appraiser Permit for Temporary Practice (Read-Only) | Professional Licensing Agency | 45664.pdf |
| Application for Real Estate Continuing Education Instructor | Professional Licensing Agency | 49490.pdf |
| Application for Real Estate License as a Corporation | Professional Licensing Agency | 00932.pdf |
| Application For Real Estate License As A Limited Liability Company (Read-Only) | Professional Licensing Agency | 46591.pdf |
| Application for Real Estate License as Partnership or D/B/A | Professional Licensing Agency | 00934.pdf |
| Application for Real Estate Trainee Appraiser Examination/Licensure (Read-Only) | Professional Licensing Agency | 46355.pdf |
| Application for Reassignment of Real Estate License (Read-Only) | Professional Licensing Agency | 47478.pdf |
| Application for Recertification Based on Previous Certification | Dept. of Homeland Security | 53522.pdf |
| Application For Recognition As A Sponsor of Continuing Education (Read-Only) | Professional Licensing Agency | 18558.pdf |
| Application for Recreational Events on Public Waters (Read-Only) | DNR - Division of Law Enforcement | 15832.pdf |
| Application for Recreational Structure on Public Waters (Read-Only) | DNR - Division of Law Enforcement | 15831.pdf |
| Application for Reduced Fee Hunting and Fishing License for Disabled Veterans (Read-Only) | DNR -- Dept. of Fish and Wildlife | 50833.pdf |
| Application for Registration as a Veterinary Technician | Professional Licensing Agency | 49703.pdf |
| Application for Registration as an Environmental Health Specialist | Professional Licensing Agency | 46158.pdf |
| Application for Registration as a Non-Resident Pharmacy in the State of Indiana | Professional Licensing Agency | 50248.pdf |
| Application for Registration as a Speech-Language Pathology Aide | Professional Licensing Agency | 50322.pdf |
| Application for Registration as Manufacturer, Processor, Repackager or Wholesale Distributor of Food, Drugs, or Cosmetics (Read-Only) | Dept. of Health | 13054.pdf |
| Application for Registration for Real Estate Professional Corporation (Read-Only) | Professional Licensing Agency | 47914.pdf |
| Application for Registration for Speech-Language Pathology and Audiology Clinical Fellowship Year | Professional Licensing Agency | 50320.pdf |
| Application For Registration For Accounting Professional Corporation | Professional Licensing Agency | 10555.pdf |
| Application For Registration For Professional Corporation (Read-Only) | Professional Licensing Agency | 50792.pdf |
| Application for Registration of a Mobile Dental Facility (Read-Only) | Professional Licensing Agency | 50923.pdf |
| Application for Registration of Indiana Owned Quarter Horse - 2004 (Read-Only) | Horse Racing Commission | 49941.pdf |
| Application for Registration of Off-Road Vehicle or Snowmobile (Read-Only) | DNR, Outdoor Recreation | 00390.pdf |
| Application for Registration of Trademark/Service Mark (Read-Only) | Secretary of State | 04430.pdf |
| Application for Registration to Operate an Out of State Mobile Health Care Entity | Dept. of Health | 53398.pdf |
| Application for Registration to Practice as a Land Surveyor (Read-Only) | Professional Licensing Agency | 09436.pdf |
| Application for Registration to Practice Engineering (Read-Only) | Professional Licensing Agency | 46454.pdf |
| Application for Registration Under the Professional Corporation Act | Professional Licensing Agency | 50160.pdf |
| Application for Regulated Explosive Use - Blaster License (Read-Only) | Dept. of Homeland Security | 52488.pdf |
| Application for Regulated Explosive Use - Operator License (Read-Only) | Dept. of Homeland Security | 52489.pdf |
| Application for Reinstatement (Read-Only) | Secretary of State | 04160.pdf |
| Application For Renewal Of Alcoholic Beverage Permit (Read-Only) | Alcohol and Tobacco Commission | 00047.pdf |
| Application For Renewal Of A Student Hearing Aid Dealer Certificate | Professional Licensing Agency | 50688.pdf |
| Application for Renewal of Certification of Authority and Disclosure and Payment of Prepaid Contracts Sold (Read-Only) | Professional Licensing Agency | 51264.pdf |
| Application For Renewal Of Health Facility License (Read-Only) | State Dept. of Health | 01714.pdf |
| Application for Repeat Examination for Psychology | Professional Licensing Agency | 53327.pdf |
| Application for Renewal of Reservation of Exclusive Use of a Corporate Name (Read-Only) | Secretary of State | 26237.pdf |
| Application for Renewal of Riverboat Owner License(You must fill out parts a and b to complete the application) | Gaming Commission | 49985a.pdf 49985b.pdf |
| Application for Renewal of Trademark/Service Mark (Read-Only) | Secretary of State | 02927.pdf |
| Application for Renewal of Underground Storage Tank Certification | Dept. of Homeland Security | 53150.pdf |
| Application for Repeat Examination for Health Facility Administrators | Professional Licensing Agency | 52564.pdf |
| Application for Repeat Examination for Hypnotist Certification (Read-Only) | Professional Licensing Agency | 52565.pdf |
| Application For Repeat Examination For Pharmacist License | Professional Licensing Agency | 51636.pdf |
| Application for Repeat Examination for Physical Therapists & Physical Therapist's Assistants | Professional Licensing Agency | 52563.pdf |
| Application for Reservation of Exclusive Use of Corporate Name (Read-Only) | Secretary of State | 26233.pdf |
| Application for Residential Historic Rehabilitation Credit | DNR, Division of Historic Preservation and Archaeology | 50743.xls |
| Application for Residential Historic Rehabilitation Credit (Read-Only) | DNR, Division of Historic Preservation and Archaeology | 50743.pdf |
| Application for Restricted Agricultural Commercial Driver's License (Read-Only) | Bureau of Motor Vehicles | 48440.pdf |
| Application for Retired Member Change of Beneficiary/Survivor Beneficiary and/or Retirement Option (Read-Only) | Teachers' Retirement Fund | 49518.pdf |
| Application for Retired Member Change of Beneficiary/Survivor Beneficiary and/or Retirement Option | Teachers' Retirement Fund | 49518.doc |
| Application for Retirement Benefits - Part I (Read-Only) | Teachers' Retirement Fund | 23226.pdf |
| Application for Retirement Benefits - Part I (Read-Only) | Teachers' Retirement Fund | 23226.doc |
| Application for Retirement Benefits - Part II (Read-Only) | Teachers' Retirement Fund | 53486.pdf |
| Application for Retirement Benefits - Part II (Read-Only) | Teachers' Retirement Fund | 53486.doc |
| Application For Review by Full Board | Worker's Compensation Board | 1042.pdf |
| Application for Revised or Duplicate Notary Commission (Read-Only) | Secretary of State | 28801.pdf |
| Application for Rollover Account Withdrawal (Read-Only) | Teachers' Retirement Fund | 52413.pdf |
| Application for Salvage Motor Vehicle Business License (Read-Only) | Bureau of Motor Vehicles | 40248.pdf |
| Application for Sanitary Sewer Construction Permit per 327 IAC 3 | Dept. of Environmental Management | 53159.doc |
| Application for Search and Certified Copy of Birth Record (Read-Only) | Dept. of Health | 49607.pdf |
| Application for Search and Certified Copy of Death Record (Read-Only) | Dept. of Health | 49606.pdf |
| Application for Second Injury Fund Benefits (Read-Only) | Workers' Compensation Board | 51247.pdf |
| Application for |