Midland County, MI · Midland County
Application for a Certified Copy of a Death Certificate
This application lets anyone request a certified copy of a death certificate 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
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request a certified copy of a death certificate from the Midland County Clerk. The form asks for the name on the death record, date of death, applicant’s name and contact information, and the number of copies requested. It lists the copy fees and explains how to order by mail or in person.
Who needs it
Anyone requesting a certified copy of a Midland County death record can use this application.
How to submit it
Mail the application and a check or money order for the specified amount to the Midland County Clerk, 220 W. Ellsworth St., Midland, MI 48640. For in-person requests, call (989) 832-6739 ahead of time.
About notarization
No notary is required; the application asks for record and applicant details and does not show a signature or date field.
How to submit this form
- 1
Download the Application
Download the application for a certified copy of a death certificate.
- 2
Complete the Application
Print clearly and fill in all fields if known, including the record and applicant details.
- 3
Choose the Number of Copies
Indicate the certified copies requested and include the specified payment when ordering by mail.
- 4
Submit to the County Clerk
Mail the application and check or money order to the address listed, or call ahead before applying in person.
Frequently asked questions
- Do I need a notary for the death certificate application?
- No. The application has no notary block and does not show a signature or date field.
- How do I submit the application?
- Mail it with a check or money order to the Midland County Clerk, 220 W. Ellsworth St., Midland, MI 48640. For in-person requests, call the office ahead of time.
- Who can request a certified death certificate copy?
- The application says death records are public records and may be obtained by anyone.
- What information does the application ask for?
- It asks for the name on the death record, date of death, applicant’s name and address, phone number, and the number of copies requested.