Barry County, MI · Barry County
Application for a Certified Copy of a Death Record
Anyone requesting a certified copy of a death record filed in Barry County can use this application to provide search details, sign, and include payment.
At a glance
- Issued by
- City of Barry County · Barry County, Barry County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- barrycounty.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application lets anyone request a search for a death record filed with the Barry County Clerk’s Office since 1867. Applicants provide their contact information and details to locate the record, including the deceased person’s name and year of death, then sign and include payment. The form states that the request will not be processed without payment.
Who needs it
Anyone requesting a certified copy of a death record filed with the Barry County Clerk’s Office should complete and submit this application.
How to submit it
Mail the completed, signed application with payment and required documentation to Barry County Clerk Vital Records Requests, 220 W. State Street, Hastings, MI 49058.
About notarization
This document is signed without a notary; the applicant must sign by hand in original ink and date the application.
How to submit this form
- 1
Download the Application
Download the certified death record copy application.
- 2
Complete the Application
Enter your contact information and the deceased person’s details requested on the form.
- 3
Gather Payment and Documentation
Include the required payment and required documentation with your application.
- 4
Sign and Mail the Application
Sign by hand in original ink, date the form, and mail it to the Barry County Clerk Vital Records Requests address shown.
Frequently asked questions
- Do I need a notary for the death record copy application?
- No. The application does not require notarization; the applicant must sign it by hand in original ink and provide the date.
- How do I submit the death record application?
- Mail the completed, signed application with payment and required documentation to Barry County Clerk Vital Records Requests, 220 W. State Street, Hastings, MI 49058.
- What information do I need to provide?
- Provide your contact information and the deceased person’s name and year of death. The form also asks for other details, including date of death and place of death.
- What payment does the form request?
- The form lists a $20 fee for the first certified copy and $7 for each additional copy. It requests a check or money order payable to the Barry County Clerk.
