This version of the form is not currently in use and is provided for reference only. Download this version of Form DCH-0569-BX-HEIR 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-HEIR?
A: Form DCH-0569-BX-HEIR is an application for a non-certified copy of a Michigan heirloom birth record.
Q: What is a Michigan heirloom birth record?
A: A Michigan heirloom birth record is a non-certified copy of a birth record that is 110 years or older.
Q: Who can apply for a non-certified copy of a Michigan heirloom birth record?
A: Any individual can apply for a non-certified copy of a Michigan heirloom birth record.
Q: What information is required on Form DCH-0569-BX-HEIR?
A: Form DCH-0569-BX-HEIR requires information such as the name of the person whose record is being requested, their date of birth, and their parents' names.
Q: How can I submit Form DCH-0569-BX-HEIR?
A: Form DCH-0569-BX-HEIR can be submitted by mail or in person to the Michigan Department of Health and Human Services.
Form Details:
Download a printable version of Form DCH-0569-BX-HEIR by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.