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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DCH-0569-DX
for the current year.
Form DCH-0569-DX Application for a Certified Copy - Michigan Death Record - Michigan
What Is Form DCH-0569-DX?
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.
FAQ
Q: What is Form DCH-0569-DX?
A: Form DCH-0569-DX is an application for a certified copy of a Michigan death record.
Q: What is a certified copy?
A: A certified copy is a copy of a document that is authorized as a true and accurate representation of the original.
Q: Who can apply for a certified copy of a Michigan death record?
A: Any person who is eligible to request a death record in Michigan can apply for a certified copy.
Q: What information is needed to complete the application?
A: The application requires information about the deceased person, such as their full name, date of death, and place of death.
Form Details:
- Released on July 1, 2021;
- The latest edition provided by the Michigan Department of Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DCH-0569-DX by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.
Download Form DCH-0569-DX Application for a Certified Copy - Michigan Death Record - Michigan
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