Lenawee County, MI · Lenawee County
Request for Birth Record
This application lets eligible individuals request a birth record copy from the Lenawee County Clerk-Vital Records office.
At a glance
- Issued by
- City of Lenawee County · Lenawee County, Lenawee County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- lenawee.mi.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Eligible individuals use this application to request a copy of a birth record from Lenawee County. It asks for details about the person named on the record, the requester’s relationship and contact information, and a signature and date confirming eligibility. The form also explains identification requirements, eligibility, copy costs, payment, and the need for a self-addressed, stamped return envelope.
Who needs it
Individuals eligible under the form’s rules who want a copy of a birth record from Lenawee County should complete this application.
How to submit it
Send the completed request to Lenawee County Clerk-Vital Records, 113 W. Front Street, Adrian, MI 49221. Include the required identification, payment payable to Lenawee County Clerk, and a self-addressed, stamped envelope.
About notarization
This document is signed without a notary; the signer just signs and dates the application to state they are eligible.
How to submit this form
- 1
Download the Application
Download the Request for Birth Record application.
- 2
Complete the Application
Provide the requested birth, relationship, and contact details, then sign and date the eligibility statement.
- 3
Gather Required Items
Include photo identification or three documents bearing your name, payment, and a self-addressed, stamped envelope.
- 4
Send the Request
Send the completed application and required items to Lenawee County Clerk-Vital Records at the address on the form.
Frequently asked questions
- Who can request a birth record?
- The person named on the record or a parent named on it may request a copy. The form also describes eligibility for records over 100 years old and certain other circumstances.
- What should I include with my application?
- Include a copy of photo identification, payment payable to Lenawee County Clerk, and a self-addressed, stamped envelope. If photo ID is unavailable, the form allows three different documents bearing your name.
- Do I need a notary for a birth record request?
- No. The application is signed and dated without a notary; the signature states that you are eligible to receive the record.
- How do I submit a birth record request?
- Send the completed application and required items to Lenawee County Clerk-Vital Records, 113 W. Front Street, Adrian, MI 49221.