This version of the form is not currently in use and is provided for reference only. Download this version of Form DCH-0569-DX-AUTH 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-DX-AUTH?
A: Form DCH-0569-DX-AUTH is the application form used in Michigan to request a certified copy of a Michigan death record.
Q: How can I obtain a certified copy of a Michigan death record?
A: You can obtain a certified copy of a Michigan death record by completing and submitting Form DCH-0569-DX-AUTH.
Q: What information is required on Form DCH-0569-DX-AUTH?
A: Form DCH-0569-DX-AUTH requires information about the deceased individual, such as their name, date of death, and place of death.
Q: Is there a fee for obtaining a certified copy of a Michigan death record?
A: Yes, there is a fee for obtaining a certified copy of a Michigan death record. The fee amount may vary.
Q: How long does it take to receive the certified copy of a Michigan death record?
A: The processing time for a certified copy of a Michigan death record may vary. It is best to contact the Michigan Department of Health and Human Services for more information.
Form Details:
Download a fillable version of Form DCH-0569-DX-AUTH by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.