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Michigan Marriage Record - Mail Or Counter Application For A Certified Copy Form. This is a Michigan form and can be use in General Statewide.
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Tags: Michigan Marriage Record - Mail Or Counter Application For A Certified Copy, Michigan Statewide, General
www.michigan.gov/mdch
MAIL OR COUNTER APPLICATION FOR A CERTIFIED COPY
____________________________
MICHIGAN MARRIAGE RECORD
APPLICANT
(PERSON REQUESTING RECORD)
STATE FILE NUMBER
PLEASE PRINT CLEARLY AND LEGIBLY
DATE:
/
(If Known)
/
Applicant=s Name:
Address:
K
City/State
K
APPLICANT=S SIGNATURE:
=
Zip:
(Sign Here) _________________________________________________________________
Must be signed in order to process
Daytime Phone:
(
) _________________________________
Other Phone:
(
REQUESTED
MARRIAGE
INFO
If the exact date of the marriage is unknown, please indicate which year
you want us to search. If the record is not found in that year=s files, we will
=
search the files for the year before and the year after. If you want
additional years searched, please see the payment box for additional
information.
) ________________________________
DATE OF MARRIAGE
____________________________________
Month
Day
Year
NAME OF GROOM:
First
Middle
Last
BRIDE=S NAME AT TIME OF APPLICATION
=
FOR MARRIAGE LICENSE:
First
Middle
Last
First
Middle
Last
City
County
State
BRIDE=S NAME BEFORE FIRST MARRIED
=
(IF DIFFERENT FROM ABOVE)
LOCATION OF
MARRIAGE:
COUNTY WHERE LICENSE WAS OBTAINED:
REQUESTING A MICHIGAN MARRIAGE RECORD
The Michigan Vital Records office has records of marriages that occurred in
Michigan and were filed with the state since 1867. Some records were not
filed with the state.
Anyone is eligible to request a copy of a Michigan marriage record if the
application is completed and signed and the required fee is paid.
PAYMENT MUST BE MADE IN U.S. FUNDS BY CHECK OR MONEY
ORDER PAYABLE TO THE ASTATE OF MICHIGAN@
@
Fees are established by state statute. A search fee covers the cost of the basic
search and includes either one copy of the record or an official statement that
the record could not be located in the state files. Payment for additional copies
will be refunded if the record cannot be located. A refund check would be
mailed to you by the Department of Treasury, usually within 3-4 weeks.
PURPOSE FOR REQUESTING RECORD
Search (Non-Refundable)
Includes One Certified Copy
$
26.00
$
__________________________________________________________
__________________________________________________________
_______ Additional Copies (Each)
$
12.00
$
* EXPEDITED SEARCH (Non-Refundable)
(In addition to the regular search fee)
$ 10.00
Additional
$
* Additional Search When Exact Date is
Unknown:
$26.00 fee includes a 3-year search
Each additional year is $12.00 per year
No. Years
TURN-AROUND TIME - For regular and expedited mail requests, please
allow additional time for mailing and our department=s receipting of your
payment.
* EXPEDITED SEARCH - All search information is required in order to request
expedited service. If you pay the expedited search fee (in addition to the regular search
fee), a counter request will be processed in 1-3 hours if marriage year is 1926 to the
present. For a mail request, if marriage year is 1926 to the present, your request will
be processed within 2 weeks of receipt in the vital records office. For a counter or mail
request, if marriage year is prior to 1926, the processing time will be 3 weeks.
* EXPEDITED SERVICE - Applies to standard three-year searches. Not
available for extra year searches.
REGULAR SEARCH - If the marriage year is 1926 to the present, your request will
be processed within 4 weeks of receipt in the vital records office. If the marriage year is
prior to 1926, the processing time will be 1-3 months.
DCH-0569-MX Rev 3/9/06 By Authority of MCL 333.2882(1)(2), MCL 333.2883(2) and MCL
333.2891(1-4)
________
Specify Which Additional Years to be Searched:
_______________________________
TOTAL ENCLOSED:
$ 12.00
Each
$
$
WE CANNOT PROCESS YOUR REQUEST WITHOUT PAYMENT. IF MAILING,
PLEASE REMEMBER TO INCLUDE CHECK OR MONEY ORDER.
IF REGULAR SEARCH MAIL TO:
VITAL RECORDS REQUESTS
PO Box 30721
Lansing MI 48909
QUESTIONS: (517) 335-8666
IF EXPEDITED SEARCH MAIL TO:
VITAL RECORDS RUSH
PO Box 30721
Lansing MI 48909
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