Form DCH-0862 Physician Application to Correct a Michigan Death Record (For Deaths That Occurred After 1 / 1 / 2004) - Michigan

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Form DCH-0862 Physician Application to Correct a Michigan Death Record (For Deaths That Occurred After 1 / 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 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.

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Form Details:

  • Released on June 1, 2023;
  • 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 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.

Download Form DCH-0862 Physician Application to Correct a Michigan Death Record (For Deaths That Occurred After 1 / 1 / 2004) - Michigan

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