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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DCH-0862 DX BEFORE
for the current year.
Form DCH-0862 DX BEFORE Physician Application to Correct a Michigan Death Record (For Deaths That Occurred Before 1 / 1 / 2004) - Michigan
What Is Form DCH-0862 DX BEFORE?
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 DX?
A: Form DCH-0862 DX is an application to correct a Michigan death record that occurred before 1/1/2004.
Q: Who can use Form DCH-0862 DX?
A: This form can be used by individuals who need to correct a death record in Michigan that occurred before 1/1/2004.
Q: What is the purpose of this form?
A: The purpose of Form DCH-0862 DX is to allow individuals to request corrections to a Michigan death record that occurred before 1/1/2004.
Q: When can this form be used?
A: This form can be used for deaths that occurred before 1/1/2004 in Michigan.
Q: Is there a fee for submitting this form?
A: Yes, there is a fee associated with submitting Form DCH-0862 DX.
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 DX BEFORE 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 DX BEFORE Physician Application to Correct a Michigan Death Record (For Deaths That Occurred Before 1 / 1 / 2004) - Michigan
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