Do I need a notary for a death certificate copy request?

No. This form has no notary block and does not ask the requester to sign or date it.

How do I submit a death certificate copy request?

Mail the request to the County Clerk at 208 North Shiawassee St., Corunna, MI 48817. Include a check or money order payable to the Shiawassee County Clerk, or use credit or debit with additional fees.

What death certificate information does the request ask for?

The form asks for the decedent’s legal name at death, date of death, date of birth, and the number of copies requested, along with your contact information.

What fees are listed on the form?

The form lists $25 for the first copy and $10 for each additional copy of the same record ordered at the same time. Mailed requests have a $3 postage fee.

Shiawassee County, MI · Shiawassee County

No notary required

Request for Certified Copy of Death Certificate

Shiawassee County residents can use this request form to ask the County Clerk for certified copies of a death certificate for a death occurring within the county.

At a glance

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

What this form is

Use this form to request certified copies of a death certificate when the decedent passed within Shiawassee County. It asks for the requester’s name, address, city, state, ZIP code, and daytime phone number, plus the decedent’s legal name at death, date of death, date of birth, and number of copies. The form lists copy and mailing fees and payment instructions.

Who needs it

A person requesting a certified death certificate for someone who passed within Shiawassee County can use this form.

How to submit it

Mail the request to the County Clerk at 208 North Shiawassee St., Corunna, MI 48817, with a check or money order payable to the Shiawassee County Clerk; credit or debit is also accepted, with additional fees.

About notarization

This request does not require a notary; it has no notary block, and the form does not ask the requester to sign or date it.

How to submit this form

1
Download the Request
Download the Shiawassee County request for a certified copy of a death certificate.
2
Complete the Request
Provide your contact information, the decedent’s legal name at death, dates of death and birth, and the number of copies requested.
3
Prepare Payment
For a mailed request, include a check or money order payable to the Shiawassee County Clerk; credit or debit is accepted with additional fees.
4
Mail to the County Clerk
Mail the request to 208 North Shiawassee St., Corunna, MI 48817.

Frequently asked questions

Do I need a notary for a death certificate copy request?: No. This form has no notary block and does not ask the requester to sign or date it.
How do I submit a death certificate copy request?: Mail the request to the County Clerk at 208 North Shiawassee St., Corunna, MI 48817. Include a check or money order payable to the Shiawassee County Clerk, or use credit or debit with additional fees.
What death certificate information does the request ask for?: The form asks for the decedent’s legal name at death, date of death, date of birth, and the number of copies requested, along with your contact information.
What fees are listed on the form?: The form lists $25 for the first copy and $10 for each additional copy of the same record ordered at the same time. Mailed requests have a $3 postage fee.

Need something notarized?

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