Newaygo County, MI · Newaygo County

No notary required

Application for Certified Copy of Death Record

This application is for people requesting a certified copy of a death record from the Newaygo County Clerk.

At a glance

Issued by
City of Newaygo County · Newaygo County, Newaygo County, Michigan
Notarization
Not required: file this form without a notary.
Official source
newaygocountymi.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 record from the Newaygo County Clerk. It asks for the applicant’s contact information, the name and date of death, and the place of death if known. The form lists the cost for one certified copy and additional copies, and requires a signature, date, and payment by check or money order.

Who needs it

Anyone requesting a certified copy of a death record from the Newaygo County Clerk should complete and submit this application.

How to submit it

Mail the application with a check or money order payable to Newaygo County Clerk to the County Clerk, P.O. Box 885, White Cloud, MI 49349-0885.

About notarization

This document is signed without a notary; the applicant signs and dates the application.

How to submit this form

  1. 1

    Download the Application

    Download the application for a certified copy of a death record.

  2. 2

    Complete the Application

    Print clearly and provide the applicant’s contact information and the requested death record details.

  3. 3

    Gather Payment

    Include a check or money order payable to Newaygo County Clerk for the copy amount listed on the form.

  4. 4

    Mail the Application

    Mail the application and payment to the Newaygo County Clerk, P.O. Box 885, White Cloud, MI 49349-0885.

Frequently asked questions

Do I need a notary for the death record application?
No. The application has a signature and date line but no notary block; the applicant signs and dates it.
How do I submit the death record application?
Mail the completed application with a check or money order payable to Newaygo County Clerk to the County Clerk at P.O. Box 885, White Cloud, MI 49349-0885.
What information does the application ask for?
It asks for the applicant’s name, address, and phone number, plus the deceased person’s name, date of death, and place of death if known.
What payment does the form list?
The form lists $20 for one certified copy and $7 for each additional copy. It says to enclose a check or money order payable to Newaygo County Clerk.

Need something notarized?

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