St. Joseph County, MI · St. Joseph County
Birth Certificate Request
This request form is for people seeking a birth certificate copy from the St. Joseph County Clerk’s Office.
At a glance
- Issued by
- City of St. Joseph County · St. Joseph County, St. Joseph County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- Original source unavailable. Use the archived PDF.
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form to request a copy of a person’s birth certificate from the St. Joseph County Clerk’s Office. It asks for the requestor’s name, relationship to the person, birth details, parents’ names, contact information, signature, and billing or delivery address. The form lists a $20 charge for the first copy and $10 for each additional copy, requires ID, and says personal checks are not accepted.
Who needs it
Anyone requesting a birth certificate copy from the St. Joseph County Clerk’s Office can use this form.
How to submit it
Send the request to St. Joseph County Clerk’s Office, Gina Everson, P.O. Box 189, Centreville, MI 49032. The form lists a $20 fee for the first copy and $10 for each additional copy, requires ID, and says no personal checks.
About notarization
This request is signed and dated without a notary; the form lists no sworn attachment or related notarized step, so the signer just signs and dates it.
How to submit this form
- 1
Download the Request
Download the Birth Certificate Request form.
- 2
Complete the Request
Print the requested information, including birth details, relationship, contact information, and billing or delivery address; then sign and date the form.
- 3
Gather Identification
Provide ID as required by the form. The form says personal checks are not accepted.
- 4
Send It to the Clerk
Send the request to St. Joseph County Clerk’s Office, Gina Everson, P.O. Box 189, Centreville, MI 49032.
Frequently asked questions
- Do I need a notary for the Birth Certificate Request?
- No. This request is signed and dated without a notary, and the form lists no sworn attachment or related notarized step.
- How do I submit the Birth Certificate Request?
- Send it to St. Joseph County Clerk’s Office, Gina Everson, P.O. Box 189, Centreville, MI 49032. The form requires ID and says personal checks are not accepted.
- What information does the Birth Certificate Request ask for?
- It asks for the requestor’s name and relationship to the person, birth date and place, parents’ names, email, phone number, signature, and billing or delivery address.
- What does the form list for copy charges?
- The form lists $20 for the first copy and $10 for each additional copy. It also says that ID must be provided and personal checks are not accepted.
