Form DCH-0862 Physician Application to Correct a Michigan Death Record (For Deaths That Occurred Prior to Jan. 1, 2004) - Michigan

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Form DCH-0862 Physician Application to Correct a Michigan Death Record (For Deaths That Occurred Prior to Jan. 1, 2004) - Michigan

What Is Form DCH-0862?

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 the Form DCH-0862?
A: Form DCH-0862 is the Physician Application to Correct a Michigan Death Record.

Q: What is the purpose of the form?
A: The purpose of the form is to correct a Michigan death record.

Q: Is this form applicable for deaths that occurred after Jan. 1, 2004?
A: No, this form is only applicable for deaths that occurred prior to Jan. 1, 2004.

Q: Who can use this form?
A: Physicians can use this form to correct a Michigan death record.

Q: Are there any fees associated with submitting this form?
A: The Michigan Department of Health and Human Services may charge a fee for processing the application.

Q: What information do I need to provide on the form?
A: You will need to provide details about the deceased individual and the corrections that need to be made to the death record.

Q: How long does it take for the corrections to be processed?
A: The processing time may vary, but it typically takes a few weeks for the corrections to be processed.

Q: What should I do if I have additional questions?
A: You can contact the Michigan Department of Health and Human Services for further assistance.

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Form Details:

  • Released on August 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-0862 by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.

Download Form DCH-0862 Physician Application to Correct a Michigan Death Record (For Deaths That Occurred Prior to Jan. 1, 2004) - Michigan

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