How do I submit the birth record copy application?

Mail the application, a copy of photo identification, and payment by check or money order to the Midland County Clerk, 220 W. Ellsworth St., Midland, MI 48640. The form also allows in-person applications.

Who may request a certified birth record copy?

The form says certified copies may be issued to the individual, a parent named on the record, an heir, a legal guardian, or a legal representative of an eligible person.

What identification and fees does the application list?

Applicants must provide a copy of photo identification, such as a driver's license, Michigan ID, or passport. The form lists $14 for the first certified copy and $6 for each additional copy of the same record ordered at the same time.

Midland County, MI · Midland County

No notary required

Application for a Certified Copy of a Birth Record

Eligible applicants use this application to request a certified copy of a birth record from the Midland County Clerk by mail or in person.

At a glance

Issued by: City of Midland County · Midland County, Midland County, Michigan
Notarization: Not required: file this form without a notary.
Official source: midlandcountymi.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this application to request a certified copy of a birth record from the Midland County Clerk by mail or in person. The applicant must state their relationship to the person named on the certificate and provide photo identification; legal representatives must identify whom they represent and include that person's notarized statement. The form lists copy fees and the mailing address.

Who needs it

A person, parent named on the record, heir, legal guardian, or legal representative seeking an eligible certified birth record copy needs this application.

How to submit it

Mail the completed application, required photo identification copy, and payment by check or money order to the Midland County Clerk at 220 W. Ellsworth St., Midland, MI 48640, or apply in person at the County Clerk's Office.

About notarization

This application is signed and dated without a notary; legal representatives must include a notarized statement from the person they represent.

How to submit this form

1
Download the Application
Get the birth record copy application from this page.
2
Complete the Application
Print clearly, fill in all fields if known, and state your relationship to the person named on the record.
3
Gather Identification and Payment
Include a copy of photo identification and payment by check or money order when applying by mail. Legal representatives must include the required notarized statement.
4
Submit to the County Clerk
Mail the application to the Midland County Clerk at 220 W. Ellsworth St., Midland, MI 48640, or apply in person at the County Clerk's Office.

Frequently asked questions

Do I need a notary for the birth record copy application?: No. The application is signed and dated without a notary. Legal representatives must include a notarized statement from the person they represent.
How do I submit the birth record copy application?: Mail the application, a copy of photo identification, and payment by check or money order to the Midland County Clerk, 220 W. Ellsworth St., Midland, MI 48640. The form also allows in-person applications.
Who may request a certified birth record copy?: The form says certified copies may be issued to the individual, a parent named on the record, an heir, a legal guardian, or a legal representative of an eligible person.
What identification and fees does the application list?: Applicants must provide a copy of photo identification, such as a driver's license, Michigan ID, or passport. The form lists $14 for the first certified copy and $6 for each additional copy of the same record ordered at the same time.

Need something notarized?

This Application for a Certified Copy of a Birth Record doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.