This version of the form is not currently in use and is provided for reference only. Download this version of Form DCH-0862 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-0862?
A: Form DCH-0862 is the Physician Application to Correct a Michigan Death Record.
Q: When can Form DCH-0862 be used?
A: Form DCH-0862 can be used for deaths that occurred after 1/1/2004 in Michigan.
Q: Who can use Form DCH-0862?
A: Physicians can use Form DCH-0862 to correct a Michigan Death Record.
Q: What is the purpose of Form DCH-0862?
A: The purpose of Form DCH-0862 is to correct errors or omissions on a Michigan Death Record.
Form Details:
Download a fillable 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.