This is a legal form that was released by the Indiana State Department of Health - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is State Form 53758?
A: State Form 53758 is the form used for the Indiana Birth/Death Registration System (IBRS) / (IDRS) user removal.
Q: What is the Indiana Birth/Death Registration System (IBRS)?
A: The Indiana Birth/Death Registration System (IBRS) is a system used for registering births and deaths in Indiana.
Q: What is the Indiana Death Registration System (IDRS)?
A: The Indiana Death Registration System (IDRS) is a system used for registering deaths in Indiana.
Q: What is the purpose of State Form 53758?
A: The purpose of State Form 53758 is to request the removal of a user from the Indiana Birth/Death Registration System (IBRS) / (IDRS).
Q: How do I remove a user from the Indiana Birth/Death Registration System?
A: To remove a user from the Indiana Birth/Death Registration System, you need to complete and submit State Form 53758.
Q: Is there a fee for removing a user from the Indiana Birth/Death Registration System?
A: There may be a fee associated with the removal of a user from the Indiana Birth/Death Registration System. You should check the specific requirements and fees stated on the form or contact the appropriate government agency for more information.
Form Details:
Download a fillable version of State Form 53758 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.