Montcalm County, MI · Montcalm County
Credit/Debit Card Authorization
This authorization lets people applying for a Montcalm County vital record by mail or fax provide card details for payment.
At a glance
- Issued by
- City of Montcalm County · Montcalm County, Montcalm County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- montcalm.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form when applying for a vital record by mail or fax and paying by Visa, MasterCard, or Discover credit or debit card. It asks for the cardholder’s name, billing address, card details, phone number, record type, number of certified copies, total amount, signature, and date. The form states a service fee applies and lists copy prices.
Who needs it
People applying for a Montcalm County vital record by mail or fax who want to pay by credit or debit card need this authorization.
How to submit it
Complete the authorization and fax it with your vital record application to the Montcalm County Clerk’s Office at 989-831-7474.
About notarization
This authorization is signed without a notary; the form asks the cardholder to sign and date it.
How to submit this form
- 1
Download the Form
Download the Credit/Debit Card Authorization for a Montcalm County vital record application.
- 2
Complete the Authorization
Enter the requested cardholder, billing, card, phone, record, copy-count, and total-amount information, then sign and date.
- 3
Gather the Application
Include this authorization with your vital record application when applying by mail or fax.
- 4
Fax to the County
Fax the completed authorization and application to the Montcalm County Clerk’s Office at 989-831-7474.
Frequently asked questions
- Do I need a notary for the Credit/Debit Card Authorization?
- No. The form asks the cardholder to sign and date it; it does not require notarization.
- How do I submit the Credit/Debit Card Authorization?
- Fax the completed authorization with your vital record application to the Montcalm County Clerk’s Office at 989-831-7474.
- When should I use this authorization?
- Use it when applying for a vital record by mail or fax and paying with a Visa, MasterCard, or Discover credit or debit card.
- What information does the form request?
- It requests cardholder and billing details, card information, phone number, record type, number of certified copies, total authorized amount, signature, and date.