Agency Records & Forms Coordinators

Last Updated 6/22/2022

These are the employees appointed by the director of each state agency to manage the agency's Records or State Forms, and act as that area's liaison and general point of contact with the Archives and Records Administration.

If there has been a change in your agency Forms or Records Coordinator, please complete State Form 42035 (Notice of Change of Agency Coordinator) and e-mail it to rmd@iara.in.gov

(Updates or corrections to contact information for existing Coordinators may also be e-mailed to the above address; a new form isn't required.)

For Agency Heads - elements to look for when assigning a Records or Forms Coordinator:

Long-term familiarity with the business of the agency
Background or some level of familiarity with records and/or forms management
Attention to detail and ability to follow written procedures
Strong communication skills
Time to work on records keeping/forms design in addition to regular tasks
Able to
- provide a record inventory and comfortably fill out records transfer and disposition forms
  
  and/or
- work with common file formats for agency forms (PDF, MS Word, MS Excel) and comfortably fill out form revision requests

If you are a citizen or business with questions about how to fill out or submit a specific State Form, please contact the Agency Forms Coordinator (listed below) for the state agency which requires you to submit that form. The State Forms Management Division cannot assist with questions about choosing, filling out or submitting state forms.

State Agency	Agency Head	Forms Coordinator	Records Coordinator
State Agency Forms and Records Coordinator Contact Information
ACCOUNTS, STATE BOARD OF IGCS E418 Indianapolis, IN 46204	Paul Joyce State Examiner	Beth Kelley 317-232-4711	Juanita Hendricksen 317-232-2524
ADJUTANT GENERAL, DEPARTMENT OF 2002 South Holt Rd. Indianapolis, IN 46241-4839	Roger Dale Lyles Adjutant General	Mary Barbee 317-247-3255	Ron Beam 317-247-3130
ADMINISTRATION, DEPARTMENT OF DCS Ombudsman IGCS W479 Indianapolis, IN 46204	Shoshanna Everhart Ombudsman	Shoshanna Everhart 317-234-7295	Shoshanna Everhart 317-234-7295
ADMINISTRATION, DEPARTMENT OF DOC Ombudsman IGCS W479 Indianapolis, IN 46204	Charlene Burkett Ombudsman	Charlene Burkett 317-234-3982	Charlene Burkett 317-234-3982
ADMINISTRATION, DEPARTMENT OF Operations Division IGCS W478 Indianapolis, IN 46204	Rebecca Holwerda Commissioner	Joe Starry 317-233-9864	Joe Starry 317-233-9864
ADMINISTRATION, DEPARTMENT OF Procurement Division IGCS W468 Indianapolis, IN 46204	Rebecca Holwerda Commissioner	Jamie Sisco 317-232-3049	Jamie Sisco 317-232-3049
ADMINISTRATION, DEPARTMENT OF Public Works Division IGCS W467 Indianapolis, IN 46204	Rebecca Holwerda Commissioner	Tracy Cross 317-232-3255	Tracy Cross 317-232-3255
ADMINISTRATIVE LAW PROCEEDINGS, OFFICE OF IGCS W467 Indianapolis, IN 46204	Michelle Allen Director	Michelle Allen 317-419-7800	Michelle Allen 317-419-7800
ALCOHOL AND TOBACCO COMMISSION IGCS E114 Indianapolis, IN 46204	David Cook Chairperson	Jennifer Miller 317-232-2449	Jennifer Miller 317-232-2449
ANIMAL HEALTH, BOARD OF Discovery Hall Suite 100, 1202 E. 38th St. Indianapolis, IN 46205	Bret D. Marsh, D.V.M. State Veterinarian	Mark Stillman 317-544-2398	Debbie Rosemeyer 317-544-2408
ARCHIVES AND RECORDS ADMINISTRATION IGCS W472 Indianapolis, IN 46204	Chandler Lighty Executive Director	Meaghan Fukunaga 317-385-3359	Meaghan Fukunaga 317-385-3359
ARTS COMMISSION 150 W. Market St. Suite 618 Indianapolis, IN 46204	Lewis Ricci Director	Stephanie Pfendler 317-232-1269	Stephanie Pfendler 317-232-1269
ATTORNEY GENERAL, OFFICE OF 402 W. Washington St., 5th Floor Indianapolis, IN 46204	Curtis T. Hill, Jr. Attorney General	Celeste Croft 317-232-0491	Teresa Henson 317-234-2301
AUDITOR OF THE STATE, OFFICE OF 240 State House Indianapolis, IN 46204	Tera Klutz State Auditor	Sharmila Sanka 317-234-9784	Sharmila Sanka 317-234-9784
BUDGET AGENCY 212 State House Indianapolis, IN 46204	Zachary Jackson Director	Bridget Davis 317-232-5610	Bridget Davis 317-232-5610
BUSINESS MODERNIZATION AND TECHNOLOGY CORPORATION 10 W. Market St. Suite 450 Indianapolis, IN 46204		Cheryl Nickels 317-635-3058	Cheryl Nickels 317-635-3058
CHILD SERVICES, DEPARTMENT OF IGCS E306 Indianapolis, IN 46204	Terry Stigdon Director	Michael Sturm 317-232-4426	Michael Sturm 317-232-4426
CIVIL RIGHTS COMMISSION IGCN N103 Indianapolis, IN 46204	Gregory Wilson Director	Christiana Ojo 317-234-6358	Christiana Ojo 317-234-6358
CIVIL RIGHTS COMMISSION COMMISSION FOR WOMEN IGCN, Rm. N300 Indianapolis, IN 46204	Jordan Teske-Harrison Executive Director	Jordan Teske-Harrison 317-232-6720	Jordan Teske-Harrison 317-232-6720
CLERK OF THE SUPREME/APPELLATE COURTS (now under Supreme Court Administration) IGCS W062 Indianapolis, IN 46204	Greg Pachmayr Clerk	Greg Pachmayr 317-232-1931	Alicia Vickers 317-232-7225
CORRECTION, DEPARTMENT OF (main agency) IGCS E334 Indianapolis, IN 46204	Robert E. Carter, Jr. Commissioner	Andy Dunigan 317-232-5711	Andy Dunigan 317-232-5711
CORRECTION, DEPARTMENT OF Branchville Correctional Facility 21390 Old State Road 37 Branchville, IN 47514	Robert E. Carter, Jr. Commissioner	Coreena Williams 812-843-4238	Coreena Williams 812-843-4238
CORRECTION, DEPARTMENT OF Camp Summit Boot Camp 2409 N 500 W La Porte IN 46350	Robert E. Carter, Jr. Commissioner	Starla Musgrave 219-326-1188	Mickey Ellch 219-326-1188
CORRECTION, DEPARTMENT OF Correctional Industrial Facility P.O. Box 600 Pendleton, IN 46064	Robert E. Carter, Jr. Commissioner	Traci Orbik 317-778-8011	--
CORRECTION, DEPARTMENT OF Indiana State Prison P.O. Box 41 Michigan City, IN 46360	Robert E. Carter, Jr. Commissioner	Rhonda Brennan 219-874-7256 x2310	Dan Bodlovich 219-874-7256 x1400
CORRECTION, DEPARTMENT OF Indiana Women's Prison 401 N. Randolph St. Indianapolis, IN 46201	Robert E. Carter, Jr. Commissioner	Karis A. Applegate 317-639-2671 x233	Ann Hauger 317-639-0177
CORRECTION, DEPARTMENT OF Indianapolis Juvenile Correctional Facility 2596 Girls' School Rd. Indianapolis, IN 46214	Robert E. Carter, Jr. Commissioner	Ashley Taflinger 317-244-3387 x378	Angela Sutton 317-244-3387
CORRECTION, DEPARTMENT OF Indianapolis Men's Work Release Center 448 W. Norwood Street. Indianapolis, IN 46225	Robert E. Carter, Jr. Commissioner	Angela Bennett 317-233-0096	Angela Bennett 317-233-0096
CORRECTION, DEPARTMENT OF Logansport Juvenile Correctional Facility 1118 South State Road 25 Logansport, IN 46947	Robert E. Carter, Jr. Commissioner	Tanya Zimmerman 765-689-8920
CORRECTION, DEPARTMENT OF Maximum Control Facility P.O. Box 557 Westville, IN 46391-0557	Robert E. Carter, Jr. Commissioner	Pam Bross 219-785-2554	Mark Levenhagen 219-785-2554
CORRECTION, DEPARTMENT OF Miami Correctional Facility P. O. Box 900 Bunker Hill, IN 46914	Robert E. Carter, Jr. Commissioner	Carmen Babb 765-689-8920	Heather Claxton 765-689-8920 ext. 5254
CORRECTION, DEPARTMENT OF Pendleton Correctional Facility P.O. Box 28 4490 West Reformatory Road Pendleton, IN 46064	Robert E. Carter, Jr. Commissioner	Harold Welbaum 765-778-2107 x1289	Harold Welbaum 765-778-2107 x1289
CORRECTION, DEPARTMENT OF Pen Products 2010 E. New York Street Indianapolis, IN 46201	Robert E. Carter, Jr. Commissioner	Nicole DeCellis-Arb 317-955-6800 x237	Nicole DeCellis-Arb 317-955-6800 x237
CORRECTION, DEPARTMENT OF Pendleton Juvenile Correctional Facility P.O. Box 900 Pendleton, IN 46064	Robert E. Carter, Jr. Commissioner	Natalie Walker 765-778-3778	Natalie Walker 765-778-3778
CORRECTION, DEPARTMENT OF Plainfield Correctional Facility 727 Moon Road Plainfield, IN 46168	Robert E. Carter, Jr. Commissioner	Sandi Nelson 317-839-2513 x1201	Brenda Beauchamp 317-839-7727
CORRECTION, DEPARTMENT OF Plainfield Re-Entry Educational Facility 501 W. Main St. Plainfield, IN 46168	Robert E. Carter, Jr. Commissioner	Sandi Nelson 317-839-2513 x 1201	Brenda Beauchamp 317-839-7727
CORRECTION, DEPARTMENT OF Reception-Diagnostic Center 737 Moon Road Plainfield, IN 46168	Robert E. Carter, Jr. Commissioner	Sandi Nelson 317-839-1425	Leslie Holton (Offender Records) 317-839-7727 ext.2413 Brenda Beauchamp (Administrative Records) 317-839-2513 ext.2407
CORRECTION, DEPARTMENT OF South Bend Juvenile Correctional Facility 4650 Old Cleveland Rd. South Bend, IN 46628	Robert E. Carter, Jr. Commissioner	Debi Kelsheimer 574-232-8808	Debi Kelsheimer 574-232-8808
CORRECTION, DEPARTMENT OF Wabash Valley Correctional Facility P.O. Box 500 Carlisle, IN 47838	Robert E. Carter, Jr. Commissioner	Frieda Stefancik 812-398-5050	Frieda Stefancik 812-398-5050
CORRECTION, DEPARTMENT OF Westville Correctional Facility P.O. Box 473 Westville, IN 46391	Robert E. Carter, Jr. Commissioner	Helen Genis 219- 785-2511 x4047	Donald Parkes 317-232-7518 317-232-7519
CRIMINAL JUSTICE INSTITUTE 101 W. Washington St. Suite 1170 East Tower Indianapolis, IN 46204	Devon McDonald	Jon McDonald 317-234-8891	Jon McDonald 317-234-8891
ECONOMIC DEVELOPMENT CORPORATION One North Capitol, Suite 700 Indianapolis, IN 46204	Elaine Bedel	Therese Reckley 317-232-3570	Therese Reckley 317-232-3570
EDUCATION, DEPARTMENT OF 229 State House Indianapolis, IN 46204	Jennifer McCormick Superintendent of Public Instruction	Stephen Novick 317-234-6870	Stephen Novick 317-234-6870
EDUCATION EMPLOYMENT RELATIONS BOARD 153 W. Market, Suite 100 Indianapolis, IN 46204	Sarah Cudahy Executive Director	Cheri Spicer 317-233-6631	Cheri Spicer 317-233-6631
ELECTION DIVISION (Secretary of State) IGCS E204 Indianapolis, IN 46204	J. Bradley King Co-Director Angela Nussmeyer Co-Director	Kimmy Hollowell-Williams 317-232-3939	Kimmy Hollowell-Williams 317-232-3939
ENVIRONMENTAL ADJUDICATION, DEPT. OF IGCN N103A Indianapolis, IN 46204	Mary Davidsen Chief Environmental Law Judge	Sara Blainbridge 317-233-0850	Sara Blainbridge 317-233-0850
ENVIRONMENTAL MANAGEMENT, DEPT. OF IGCN N1301 Indianapolis, IN 46204	Bruno L. Pigott Commissioner	Dora Fields 317-234-8209	Yolonda Madison 317-234-9695
ETHICS COMMISSION	Now part of the Inspector General's Office
FAIR COMMISSION, STATE 1202 E. 38th St. Indianapolis, In. 46205	Cindy Hoye Executive Director	Will Forrest 317-927-7527	Will Forrest 317-927-7527
FAMILY AND SOCIAL SERVICES ADMINISTRATION (main agency) IGCS W461 Indianapolis, IN 46204	Dan Rusyniak Secretary	Marisa Bland 317-232-0602	Marisa Bland 317-232-0602
FAMILY AND SOCIAL SERVICES ADMINISTRATION DISABILITY,& REHABILITATIVE SRVCS., DIVISION OF IGCS W451 Indianapolis, IN 46204	Kelly Mitchell Director	Marisa Bland 317-232-0602	Marisa Bland 317-232-0602
FAMILY AND SOCIAL SERVICES ADMINISTRATION EVANSVILLE PSYCHIATRIC CHILDREN'S CENTER 3300 East Morgan Ave. Evansville, IN 47715	Jay Chaudhary Director	Denise Lowenhaupt (812) 469-6800 ext 4936	Denise Lowenhaupt (812) 469-6800 ext 4936
FAMILY AND SOCIAL SERVICES ADMINISTRATION EVANSVILLE STATE HOSPITAL 3400 Lincoln Avenue Evansville, IN 47714-0147	Jay Chaudhary Director	Denise Lowenhaupt (812) 469-6800 ext 4936	Denise Lowenhaupt (812) 469-6800 ext 4936
FAMILY AND SOCIAL SERVICES ADMINISTRATION FAMILY RESOURCES, DIVISION OF IGCS W386 Indianapolis, IN 46204	Adrienne Shields Director	Marisa Bland 317-232-0602	Marisa Bland 317-232-0602
FAMILY AND SOCIAL SERVICES ADMINISTRATION LOGANSPORT STATE HOSPITAL 1098 S. State Road 25 Logansport, IN 46947-9699	Jay Chaudhary Director	Adam Newnes (574) 737-3921	Sonya Ulery (574) 722-3776
FAMILY AND SOCIAL SERVICES ADMINISTRATION MADISON STATE HOSPITAL 711 Green Road Madison, IN 47250	Jay Chaudhary Director	Matilda Paeper 812-265-7376	Matilda Paeper 812-265-7376
FAMILY AND SOCIAL SERVICES ADMINISTRATION MENTAL HEALTH AND ADDICTION, DIVISION OF IGCS W353 Indianapolis, IN 46204	Jay Chaudhary Director	Marisa Bland 317-232-0602	Marisa Bland 317-232-0602
FAMILY AND SOCIAL SERVICES ADMINISTRATION NEURO-DIAGNOSTIC INSTITUTE 5435 E. 16th St. Indianapolis, IN 46218	Jeffery Clearwater Director	Jeffery Clearwater 317-941-4195	Jeffery Clearwater 317-941-4195
FAMILY AND SOCIAL SERVICES ADMINISTRATION RICHMOND STATE HOSPITAL 498 N.W. 18th St. Richmond, IN 47374	Jay Chaudhary Director	Mary L. Clark 765-966-0511	Jay Wenning 765-935-9235
FINANCE AUTHORITY One North Capitol, Suite 900 Indianapolis, IN 46204	Dan Huge Public Finance Director	Cindy Herron 317-233-4335	Cindy Herron 317-233-4335
FINANCIAL INSTITUTIONS, DEPT. OF 30 S. Meridian St. Suite 300 Indianapolis, IN 46204	Tom Fite Director	Angie Smith 317-233-3995	Sharmaine Stewart 317-233-3996
GAMING COMMISSION 101 W. Washington St, Suite 1600, East Tower Indianapolis, IN 46204	Greg Small Executive Director	Elizabeth Sullivan 317-233-0046	Elizabeth Sullivan 317-233-0046
GOVERNOR'S OFFICE 206 State House Indianapolis, IN 46204	Eric Holcomb Governor	Pam Fritz 317-232-2588	Pam Fritz 317-232-2588
GOVERNOR'S COUNCIL FOR PEOPLE WITH DISABILITIES 402 W. Washington St. Room E145 Indianapolis, IN 46204	Jessica Trimble Executive Director	Katrina Chappell 317-232-7772	Katrina Chappell 317-232-7772
HEALTH, STATE DEPT. OF 2 N. Meridian St. Indianapolis, IN 46204	Kristina Box Commissioner	Karen Sanders 317-233-7729	Karen Sanders 317-233-7729
HIGHER EDUCATION, COMMISSION FOR 101 West Ohio St., Suite 550 Indianapolis, IN 46204	Teresa Lubbers Commissioner	Barbara Kimball 317-232-1097	Barbara Kimball 317-232-1097
HOMELAND SECURITY, DEPARTMENT OF IGCS E208 Indianapolis, IN 46204	Steve Cox Executive Director	Candice Pope 317-234-7322	Dustin Dyer 317-967-1732
HORSE RACING COMMISSION 1302 N Meridian St, Suite 175 Indianapolis, IN 46202	Michael D. Smith Executive Director	Joyse Banister 317-232-0400	Abigail Meister 317-713-3359
HOUSE OF REPRESENTATIVES Room 3A-8, State House 200 W. Washington St. Indianapolis, IN 46204	Brian C. Bosma Speaker of the House	Caroline Spotts 317-232-9974	Caroline Spotts 317-232-9974
HOUSING AND COMMUNITY DEVELOPMENT AUTHORITY 30 South Meridian St. Suite 1000 Indianapolis, IN 46204	J. Jacob Sipe Executive Director	Jayson Conley 317-232-7777	Adam Lawson 317-233-1825
MEDICAL EDUCATION BOARD 340 W 10th St, Suite 5100 Indianapolis, IN 46202	Tim Putnam	n/a	Kathleen Boles 317-274-4306
INSPECTOR GENERAL, OFFICE OF 315 W. Ohio Street, Room 104 Indianapolis, IN 46202	David Cook Inspector General	Nathan Baker 317-232-3850	Nathan Baker 317-232-3850
INSURANCE, DEPARTMENT OF 311 W. Washington St., Suite 300 Indianapolis, IN 46204	Stephen Robertson Commissioner	Barbara Lohman 317-232-2405	Barbara Lohman 317-232-2405
INTEGRATED PUBLIC SAFETY COMMISSION IGCN Room N340 Indianapolis, IN 46204	Kelly Dignin Executive Director	Kerry Kelley 317-899-8569	Kerry Kelley 317-899-8569
Judiciary - STATE BOARD OF LAW EXAMINERS 115 W. Washington St, Suite 1370 Indianapolis, IN 46204	Bradley Skolnik Administrator	Bradley Skolnik 317-232-2552	Bradley Skolnik 317-232-2552
Judiciary - SUPREME COURT ADMINISTRATION (+ related judicial offices) 200 W. Washington St. Rm. 315 Indianapolis, IN 46204	Lilia Judson, Interim Chief Administrative Officer	Lilia Judson 317-232-2542	Tom Jones 317-233-3695
Judiciary - SUPREME COURT DISCIPLINARY COMMISSION 30 S. Meridian St., Suite 850 Indianapolis, IN 46204	G. Michael Witte Administrator	Jeanmarie Brown 317-232-1806	Jeanmarie Brown 317-232-1806
LABOR, DEPARTMENT OF IGCS W195 Indianapolis, IN 46204	Michelle Ellison Interim Commissioner	Augustus Cooley 317-234-3910	Teresa Blalock 317-234-3945
LAW ENFORCEMENT TRAINING BOARD/ACADEMY P.O. Box 313 Plainfield, IN 46168	Timothy Horty Executive Director	Sheryl Myers 317-837-3249	Lisa Craig 317-837-3240
LEGISLATIVE SERVICES AGENCY 301 State House Indianapolis, IN 46204	George Angelone Executive Director	Pamela J. Landwer 317-232-9597	Zachary Wampler 317-232-9560
LIBRARY, STATE 140 N. Senate Ave., Room 407 Indianapolis, IN 46204	Jacob Speer State Librarian	Angela Downs 317-232-3692	Angela Downs 317-232-3692
LT. GOVERNOR 333 State House Indianapolis, IN 46204	Suzanne Crouch Lt. Governor	Mary Moss 317-232-8917	Mary Moss 317-232-8917
LT. GOVERNOR --- AGRICULTURE, DEPARTMENT OF 101 W. Ohio St. Suite 1200 Indianapolis, Indiana 46204 _{[Includes Grain Buyers & Warehouse Licensing \| Grain Indemnity Corp.]}	Bruce Kettler	Cathy Weeks 317-234-7707	Cathy Weeks 317-234-7707
LOBBY REGISTRATION COMMISSION 10 W. Market St. - Suite 1760 Indianapolis, IN 46204	Edward Ferguson Executive Director/Counsel.	Amy Nicholson 317-232-9860	Amy Nicholson 317-232-9860
LOCAL GOVERNMENT FINANCE, DEPARTMENT OF IGCN N1058B Indianapolis, IN 46204	Wesley Bennett Commissioner	Donna Bratcher 317-233-0166	Donna Bratcher 317-233-0166
LOTTERY COMMISSION, STATE 1300 N. Meridian Indianapolis, IN 46202	Sarah Taylor Executive Director	Carrie Stroud 317-264-4840	Carrie Stroud 317-264-4840
MANAGEMENT PERFORMANCE HUB State House Room 105 Indianapolis, IN 46204	Darshan Shah	Jessica Gilson 317-232-2698	Jessica Gilson 317-232-2698
MOTOR VEHICLES, BUREAU OF IGCN N440 Indianapolis, IN 46204	Joe Hoage Commissioner	Lee Phillips-Amory 317-233-6000	Jade Green 317-416-3035
MUSEUM AND HISTORIC SITES CORPORATION 650 W. Washington St. Indianapolis, IN 46204	Cathryn Ferree	Jacob Sheff 317-232-7172	Jacob Sheff 317-232-7172
NATURAL RESOURCES, DEPARTMENT OF IGCS W256 Indianapolis, IN 46204	Daniel Bortner Director	Kathy Evans 317-233-8214	Shelley Reeves 317-234-1702
NATURAL RESOURCES COMMISSION IGCN N103 Indianapolis, IN 46204	Bryan Poynter Chair	Billie Franklin 317-232-0156	Billie Franklin 317-232-0156
PAROLE BOARD IGCS W466 Indianapolis, IN 46204	Gwen Horth Chairperson	Tamika Duncan 317-232-5673	Tiffany Gaidoo 317-232-5789
PERSONNEL DEPARTMENT, STATE IGCS W161 Indianapolis, IN 46204	Matthew A. Brown Director	Allen Aitken 317-232-3074	Ashley New 317-234-9610
POLICE, INDIANA STATE IGCN N340 Indianapolis, IN 46204	Doug Carter Superintendent	Shea Reliford 317-232-8348	Shea Reliford 317-232-8348
PORTS OF INDIANA 150 W. Market St., Suite 100 ISTA Building Indianapolis, IN 46204	Vanta Coda	Wendy Calvert 317-233-6229	Wendy Calvert 317-233-6229
PROFESSIONAL LICENSING AGENCY IGCS W072 Indianapolis, IN 46204	Deborah Frye Director	Anna Howe 317-234-2908	Maureen Bennett 317-234-1983
PROTECTION AND ADVOCACY SERVICES COMMISSION 4755 Kingsway Drive, Suite 100 Indianapolis, IN 46205	Dawn Adams Executive Director	Scarlett Taylor 317-722-3475	Scarlett Taylor 317-722-3475
PUBLIC ACCESS COUNSELOR, OFFICE OF IGCS W460 Indianapolis, IN 46204	Luke Britt Public Access Counselor	Luke Britt 317-234-0906	Luke Britt 317-234-0906
PUBLIC DEFENDER, OFFICE OF One North Capitol Ave., #800 Indianapolis, IN 46204	Stephen T. Owens State Public Defender	Shellie Bossie 317-232-2475	Shellie Bossie 317-232-2475
PUBLIC DEFENDER COMMISSION 309 W. Washington, Suite 501 Indianapolis, IN 46204	Mark Rutherford	Jennifer Pinkston 317-671-3064	Jennifer Pinkston 317-671-3064
PUBLIC DEFENDER COUNCIL 309 W. Washington St., Suite 401 Indianapolis, IN 46204	Bernice Corley Executive Director	Suzan Ristich 317-232-2490	Suzan Ristich 317-232-2490
PUBLIC RETIREMENT SYSTEM 1 North Capitol Avenue, Suite 001 Indianapolis, IN 46204	Steve Russo Director	Rebecca Liming 317-234-4525	Yvonne Collins 317-233-4150 Andrea Lowery-Baker 317-233-4134
REVENUE, DEPARTMENT OF IGCN N248 Indianapolis, IN 46204	Bob Grennes Commissioner	Christy Brown 317-232-2198	Heather Lynette 317-615-2518
SCHOOL FOR THE BLIND 7725 N. College Avenue Indianapolis, IN 46240	James R. Durst Superintendent	Raouf Estefanos 317-253-1481	Raouf Estefanos 317-253-1481
SCHOOL FOR THE DEAF 1200 East 42nd St. Indianapolis, IN 46205	Dr. David Geeslin Superintendent	Cathey Covey 317-550-4807	David Geeslin 317-550-1983
SECRETARY OF STATE, OFFICE OF 201 State House Indianapolis, IN 46204	Connie Lawson Secretary of State	Molly Timperman 317- 234- 8354	Rick Davenport 317-234-9682 Latisha Sims (Securities Division only) 317-232-6681
SECRETARY OF STATE ----- ELECTION DIVISION / ELECTION COMMISSION IGCS E204 Indianapolis, IN 46204	Bradley King Co-Director Angela J. Nussmeyer Co-Director	Kimmy Hollowell-Williams 317-232-3939	Kimmy Hollowell-Williams 317-232-3939
SENATE State House Room c-A, 200 W. Washington St. Indianapolis, IN 46204	Roderic Bray President Pro-Tempore	Candace K. Hall 317-232-9418	Candace K. Hall 317-232-9418
STADIUM CONVENTION BUILDING AUTHORITY 1 N. Capitol Suite 900 Indianapolis, IN 46204	John P. Klipsch Executive Director	Cindy Herron 317-233-4335	Cindy Herron 317-233-4335
STATE EMPLOYEE APPEALS COMMISSION 100 N. Senate, Rm. N501 Indianapolis, IN 46204	Erin McQueen Director	Erin McQueen 317-232-3137	Erin McQueen 317-232-3137
TAX REVIEW, BOARD OF IGCN N1026 Indianapolis, IN 46204	Ted Holaday Chairperson	Beth Hammer 317-233-5127	Beth Hammer 317-233-5127
TECHNOLOGY, OFFICE OF IGCN N551 Indianapolis, IN 46204	Robert Paglia Acting Chief Information Officer	Kelly Mitchell 317-232-3172	Kelly Mitchell 317-232-3172
TOBACCO PREVENTION AND CESSATION AGENCY 150 W. Market St., Suite 406 Indianapolis, IN 46204	Miranda Spitznagle Director	{temp. vacant}	{temp. vacant}
TOXICOLOGY, DEPARTMENT OF 550 W. 16th Street Indianapolis, IN 46202	J.E. Littlejohn	Teri Kendrick 317-274-7859	Teri Kendrick 317-274-7859
TRANSPORTATION, DEPT. OF IGCN N749 Indianapolis, IN 46204	Joe McGuinness Commissioner	Sarah Bump 317-232-5162	Nicole Joyner 317-232-2914
TREASURER OF STATE 242 State House Indianapolis, IN 46204	Kelly Mitchell Treasurer of State	Kim Logan 317-233-0921	Kim Logan 317-233-0921
UTILITY CONSUMER COUNSELOR 115 W Washington St, Suite 1500S Indianapolis, IN 46204	Bill Fine Utility Consumer Counselor	Krista Orton 317-233-0892	Krista Orton 317-233-0892
UTILITY REGULATORY COMMISSION 101 W. Washington Street, Suite 1500 East Indianapolis, IN 46204-3407	Jim Huston Commission Chairperson	Stacy Hunter 317-232-2642	Stacy Hunter 317-232-2642
VETERANS AFFAIRS, DEPARTMENT OF IGCS E120 Indianapolis, IN 46204	Dennis Wimer Director	Tara Eggen 317-234-6062	Tara Eggen 317-234-6062
VETERANS AFFAIRS, DEPARTMENT OF VETERANS' HOME 3851 N. River Rd., W. Lafayette 47906	Linda Sharp Superintendent	Amy Morgan 765-463-1502	Amy Morgan 765-463-1502
WAR MEMORIALS COMMISSION 431 N. Meridian St. Indianapolis, IN 46204	J. Stewart Goodwin Executive Director	Debby Bartley 317-233-0991	Debby Bartley 317-233-0991
WHITE RIVER STATE PARK DEVELOPMENT COMMISSION 801 W. Washington St. Indianapolis, IN 46204	Jake Oakman Executive Director	Ashlyn Miller 317-233-6729	Ashlyn Miller 317-233-6729
WORKER'S COMPENSATION BOARD 402 W. Washington St., W 196 Indianapolis, IN 46204	Linda Hamilton Chairperson	Dirinda Asher 317-232-3822	Dirinda Asher 317-232-3822
WORKFORCE DEVELOPMENT, DEPARTMENT OF (main agency) 10 N. Senate, Rm. 305 Indianapolis, IN 46204	Frederick Payne Commissioner	Richard Lewis 317-232-5681	Emily Wright 317-233-5715

Agency Records & Forms Coordinators

For Agency Heads - elements to look for when assigning a Records or Forms Coordinator:

State Agency Forms and Records Coordinator Contact Information

Indiana Archives and Records Administration

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