Shiawassee County, MI · Shiawassee County
Request for Verification of a Michigan Birth/Death/Marriage Record
This form lets an applicant request verification of facts on a Michigan birth, death, or marriage record from the Shiawassee County Vital Records Office.
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
- Machine-readable
- JSON record · about the forms index
What this form is
Use this request when seeking verification of a Michigan birth, death, or marriage record dating from 1867 onward. The office returns the form stamped to indicate whether a record matches the facts supplied. It asks for the applicant’s name, mailing address, signature, event type, record name, event date, and filing date if known; each search costs $10, payable by check or money order.
Who needs it
Anyone requesting verification of a Michigan birth, death, or marriage record from the Shiawassee County Vital Records Office needs to complete this form.
How to submit it
Send the signed request and a $10 check or money order payable to the Shiawassee County Clerk’s Office to 208 North Shiawassee Street, Corunna.
About notarization
This request is signed and dated without a notary; the form does not mention a notarized or sworn attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download the Request
Download the Shiawassee County request for Michigan birth, death, or marriage record verification.
- 2
Complete the Form
Enter the applicant and record details, including the event type and date, then sign and date the request.
- 3
Prepare the Payment
Include $10 per search by check or money order payable to the Shiawassee County Clerk’s Office. The fee is non-refundable.
- 4
Mail the Request
Send the signed form and payment to 208 North Shiawassee Street, Corunna.
Frequently asked questions
- What does this form request?
- It asks the Shiawassee County Vital Records Office to check whether a Michigan birth, death, or marriage record matches the facts you provide.
- What information and payment are required?
- Provide the record name, event type and date, and filing date if known, along with your name, mailing address, and signature. Include $10 per search by check or money order payable to the Shiawassee County Clerk’s Office.
- Do I need a notary for this verification request?
- No. The applicant signs and dates this request without a notary. The form does not mention a notarized or sworn attachment.
- How do I submit the verification request?
- Send the signed form and $10 check or money order payable to the Shiawassee County Clerk’s Office to 208 North Shiawassee Street, Corunna.