Lenawee County, MI · Lenawee County
Request for Death Record
Lenawee County's Request for Death Record is used by applicants to request copies of a deceased person's death record from County Clerk-Vital Records.
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
Use this request to ask Lenawee County Clerk-Vital Records for copies of a death record. It asks for the applicant’s name and phone number, the deceased person’s name and date of death, the number of copies, and optional email; the applicant signs and dates the request. The form lists copy costs and asks for a self-addressed, stamped return envelope.
Who needs it
Applicants seeking copies of a deceased person's death record can use this request to provide the required details and request the number of copies they need.
How to submit it
Send the completed request to Lenawee County Clerk-Vital Records, 113 W. Front Street, Adrian, MI 49221. Include payment payable to Lenawee County Clerk: $16 for one copy and $6 for each additional copy ordered at the same time, plus a self-addressed, stamped envelope.
About notarization
No notary is required; the applicant signs and dates the request, and the form does not identify any sworn or notarized attachment.
How to submit this form
- 1
Download the Request
Download the Request for Death Record from this page.
- 2
Complete the Request
Enter the applicant and deceased person information, the number of copies requested, and optional email; then sign and date the form.
- 3
Gather Payment and Envelope
Include payment payable to Lenawee County Clerk and a self-addressed, stamped envelope for the return copies.
- 4
Send the Request
Mail the request to Lenawee County Clerk-Vital Records at 113 W. Front Street, Adrian, MI 49221.
Frequently asked questions
- What information does the death record request ask for?
- It asks for the applicant’s name and phone number, the deceased person’s name and date of death, the number of copies, and an optional email address.
- How much do death record copies cost?
- The form lists a cost of $16 for one copy and $6 for each additional copy purchased at the same time. Payment should be made payable to Lenawee County Clerk.
- Do I need a notary for the Request for Death Record?
- No. The applicant signs and dates the request; the form does not identify any sworn or notarized attachment.
- How do I submit the Request for Death Record?
- Send it to Lenawee County Clerk-Vital Records, 113 W. Front Street, Adrian, MI 49221. Include payment and a self-addressed, stamped envelope for the return copies.