Luce County, MI · Luce County

No notary required

Death Certificate Application

This application is for someone requesting copies of a death certificate and records the deceased’s name, date of death, and purchaser information.

At a glance

Issued by
City of Luce County · Luce County, Luce County, Michigan
Notarization
Not required: file this form without a notary.
Official source
lucecountymi.com
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Use this application to request copies of a death certificate. It asks for the deceased’s name and date of death, the number of copies requested, and the purchaser’s name, address, signature, and date. The form lists a cost of $15 for the first certified copy and $5 for each additional copy.

Who needs it

Anyone requesting copies of a death certificate can use this form to provide the deceased’s details and the purchaser’s information.

How to submit it

Submit it to the county office named on the form; check the county website for current contact details and submission instructions.

About notarization

This document is signed without a notary; it lists no notarized or sworn attachments, so the purchaser just signs and dates it.

How to submit this form

  1. 1

    Download the Application

    Download the Death Certificate Application PDF.

  2. 2

    Complete the Application

    Enter the deceased’s name, date of death, number of copies, and purchaser information.

  3. 3

    Sign and Date the Form

    The purchaser signs and dates the application; no attachments are listed.

  4. 4

    Submit to the County

    Submit the application to the county office named on the form; check the county website for current contact details.

Frequently asked questions

What information does the death certificate application request?
It asks for the deceased’s name, date of death, number of copies requested, and the purchaser’s name, address, signature, and date.
What does a copy cost?
The form lists a cost of $15 for the first certified copy and $5 for each additional copy.
Do I need a notary for the Death Certificate Application?
No. This application is signed without a notary, and it lists no notarized or sworn attachments. The purchaser signs and dates the form.
How do I submit the Death Certificate Application?
Submit it to the county office named on the form. The document does not provide contact details, so check the county website for current submission information.

Need something notarized?

This Death Certificate Application doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.