Do I need a notary for the Death Record Request Application?

No. The application has no notary block; the applicant affirms compliance, then signs and dates the form.

How do I submit the Death Record Request Application?

Mail the completed application, payment, a copy of identification, and a self-addressed stamped envelope to the Roscommon County Clerk at 500 Lake St., Roscommon, Michigan 48653.

What information does the application ask for?

It asks for the number of copies, the name and death details of the person, and the applicant’s name, phone number, address, signature, and date.

What is the fee for certified copies?

The application lists a fee of $15 for the first certified copy and $10 for each additional copy of the same record.

Roscommon County, MI · Roscommon County

No notary required

Death Record Request Application

Roscommon County residents use this application to request a certified copy of a death record for a death that occurred in the county.

At a glance

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

What this form is

This application lets an applicant request certified copies of a death record for a death that occurred in Roscommon County. It asks for the deceased person’s name, date and place of death, the number of copies requested, and the applicant’s contact information and signature. The form also states the copy fees and requests payment, identification, and a self-addressed stamped envelope.

Who needs it

Anyone requesting a certified copy of a death record for a death that occurred in Roscommon County should complete this application.

How to submit it

Send the completed application, payment, a copy of identification, and a self-addressed stamped envelope to Roscommon County Clerk, 500 Lake St., Roscommon, Michigan 48653.

About notarization

This application is signed without a notary; the signer affirms compliance and signs and dates the form.

How to submit this form

1
Download the Application
Download the Death Record Request Application for a death that occurred in Roscommon County.
2
Complete the Form
Enter the requested death record and applicant information, number of copies, and signature and date.
3
Gather the Required Items
Include payment, a copy of identification, and a self-addressed stamped envelope.
4
Mail the Application
Send the completed application and accompanying items to the Roscommon County Clerk at the address listed on the form.

Frequently asked questions

Do I need a notary for the Death Record Request Application?: No. The application has no notary block; the applicant affirms compliance, then signs and dates the form.
How do I submit the Death Record Request Application?: Mail the completed application, payment, a copy of identification, and a self-addressed stamped envelope to the Roscommon County Clerk at 500 Lake St., Roscommon, Michigan 48653.
What information does the application ask for?: It asks for the number of copies, the name and death details of the person, and the applicant’s name, phone number, address, signature, and date.
What is the fee for certified copies?: The application lists a fee of $15 for the first certified copy and $10 for each additional copy of the same record.

Need something notarized?

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