This version of the form is not currently in use and is provided for reference only. Download this version of Form DCH-0569-BX-SR for the current year.
This is a legal form that was released by the Michigan Department of Health and Human Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form DCH-0569-BX-SR?
A: Form DCH-0569-BX-SR is the application form used to request a certified copy of a senior birth record in Michigan.
Q: Who can use Form DCH-0569-BX-SR?
A: This form can be used by individuals who are 65 years or older and need a certified copy of their own Michigan birth record.
Q: What information is required on Form DCH-0569-BX-SR?
A: You will need to provide your personal details such as your name, date of birth, parents' names, and your address. You will also need to provide identification documents.
Q: Is there a fee for submitting Form DCH-0569-BX-SR?
A: Yes, there is a fee associated with obtaining a certified copy of a senior Michigan birth record. The fee amount may vary, so it's best to check the current fee with the Michigan Department of Health and Human Services.
Q: How long does it take to receive a certified copy of a senior Michigan birth record?
A: The processing time may vary, but on average, it takes around 2-3 weeks to receive a certified copy of a senior Michigan birth record after submitting the application form.
Form Details:
Download a printable version of Form DCH-0569-BX-SR by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.