Transcription of APPLICATION FOR A CERTIFIED COPY — MICHIGAN …
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APPLICATION FOR A CERTIFIED COPY — MICHIGAN …
PART 6 - FEES Includes one CERTIFIED copy or no-find letter PART 5 - INFORMATION NEEDED TO FIND birth RECORD BEING REQUESTED APPLICATION FOR A CERTIFIED COPY MICHIGAN birth RECORD MICHIGAN Department of Health and Human Services PART 1 - APPLICANT S INFORMATION PART 4 - ELIGIBILITY-Select the category that qualifies YOU to request/receive this MICHIGAN birth record per MCL For Accounting Use Only Applicant s State Driver s License Name or Identification # Mailing Address City State Zip Daytime Phone w/area code - Required: Other Phone w/area code: By signing this APPLICATION , I understand that I am agreeing to pay
PART 6 -FEES Includes one certified copy or no-find letter PART 5 -INFORMATION NEEDED TO FIND BIRTH RECORD BEING REQUESTED APPLICATION FOR A CERTIFIED COPY — MICHIGAN BIRTH RECORD
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