Van Buren County, MI · Van Buren County
Request for Copies of Vital Records
Van Buren County residents and other requesters use this form to request copies of birth, death, or marriage records from the County Clerk.
At a glance
- Issued by
- City of Van Buren County · Van Buren County, Van Buren County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- vanburencountymi.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form requests copies of birth, death, or marriage records from the Van Buren County Clerk. It asks for the requester’s contact information and signature, along with details specific to the record type; birth-record requests also require the requester to identify their relationship to the person named. The form lists copy fees and additional requirements for birth-record and mail requests.
Who needs it
Anyone requesting a copy of a birth, death, or marriage record from the Van Buren County Clerk can use this form.
How to submit it
Mail the request to the Van Buren County Clerk, 212 Paw Paw Street, Suite 101, Paw Paw, MI 49079-1496. For a mail request, include a self-addressed stamped envelope; birth-record mail requests also require a photocopy of identification.
About notarization
This document is signed without a notary; the requester signs and dates it to state the certificate will not be used for fraudulent or deceptive purposes.
How to submit this form
- 1
Download the Form
Download the Van Buren County request form for copies of vital records.
- 2
Complete the Request
Provide your contact information, sign and date the form, and complete the section for the birth, death, or marriage record requested.
- 3
Gather Required Items
For a mail request, include a self-addressed stamped envelope. Birth-record mail requests also require a photocopy of identification.
- 4
Mail the Request
Send the completed form and required items to the Van Buren County Clerk at the address listed on the form.
Frequently asked questions
- What records can I request with this form?
- Use the form to request copies of birth, death, or marriage records from the Van Buren County Clerk.
- Do I need a notary for a vital records copy request?
- No. Sign and date the form to state that you will not use the certificate for fraudulent or deceptive purposes; the document does not require a notary.
- How do I submit a vital records copy request?
- Mail the completed request to the Van Buren County Clerk at 212 Paw Paw Street, Suite 101, Paw Paw, MI 49079-1496. Include a self-addressed stamped envelope for mail requests.
- What identification is needed for a birth record?
- For an in-person birth-record request, present photo identification. For a mail request, include a photocopy of your identification, and the address on the ID must match the mailing address.