MI DCH-0569-BX-AUTH 2013 free printable template

APPLICATION FOR AN AUTHENTICATED OR APOSTLE COPY MICHIGAN BIRTH RECORD PHOTO IDENTIFICATION REQUIRED PART 1: APPLICANT'S INFORMATION Applicant's State Driver's License Name: or Identification # Mailing

How to fill out michigan birth record form

How to fill out michigan birth record form:

1. Start by obtaining a copy of the michigan birth record form. You can usually obtain a copy from the local county clerk's office or through their website.
2. Begin by providing the required information in the first section of the form, such as the child's full name, date and place of birth, and gender.
3. The next section will typically require you to provide information about the parents, including their full names, dates of birth, and current addresses.
4. In the following sections, you may need to provide additional details such as the attending physician or midwife's name, the facility where the birth occurred, and any complications during childbirth.
5. Ensure that all the information provided is accurate and complete before submitting the form.
6. Once the form is filled out, sign and date it according to the instructions provided.
7. Finally, submit the completed form to the appropriate authority, such as the local county clerk's office, along with any required fees or supporting documents.

Who needs michigan birth record form:

1. Parents or legal guardians of a child born in Michigan will typically need to fill out the michigan birth record form.
2. Medical professionals involved in the birth, such as attending physicians or midwives, may also need to provide certain information on the form.
3. Additionally, government agencies, courts, or individuals requiring proof of birth or identification may request a copy of the michigan birth record form.

People Also Ask about michigan birth record form

How fast can I get a birth certificate in Michigan?

Birth certificates take approximately two to three weeks to process after the day the infant is born. Birth Certificates are not public record and available only to the parent, legal guardian, or the individual named on the certificate. All requests require a valid government issued photo ID such as a driver's license.

How do I get my child's birth certificate in Michigan?

Please call 866-443-9897 to place an order by phone. Processing time is 1-2 business days for a United Parcel Service (UPS) overnight delivery request and 2 weeks for a regular online request plus mail time back to the customer.

How do I add my father's name to my birth certificate in Michigan?

A: You must provide: A completed application to change a Michigan birth record. A copy of the birth certificate of the parent with the correct information. OR two (2) documents dated at least five (5) years prior to the date of application which contains the correct information.

What documents do I need to get a birth certificate in Michigan?

To request a certified birth record, a current valid, government issued identification is required in order to establish eligibility. To protect you and the community from identity theft, we require a copy of the applicant's government issued identification to be presented along with the application and fees.

How do you add a father to a birth certificate in Michigan?

A: You must provide: A completed application to change a Michigan birth record. A copy of the birth certificate of the parent with the correct information. OR two (2) documents dated at least five (5) years prior to the date of application which contains the correct information.

How much does it cost to add father to birth certificate in Michigan?

To make a change or correction to a Michigan Birth Certificate you must do so through the State of Michigan. Fees for obtaining a certified copy of a birth certificate are $24 for the first copy, and $7 for each additional copy of the same record.

For pdfFiller’s FAQs

What is michigan birth record form?

The Michigan Birth Record Form is a document used by the Michigan Department of Health and Human Services (MDHHS) to record the birth of a child in the state of Michigan. It is a legal document that contains important information about the child's birth, such as the child's full name, date and place of birth, parents' names and information, and other relevant details. This form is typically filled out by the parents or other relevant parties and submitted to the MDHHS to officially register the child's birth.

Who is required to file michigan birth record form?

In Michigan, the person responsible for filing the birth record form is typically the attending physician or midwife who assisted with the delivery. If there was no medical attendant present, the responsibility falls on the parents or legal guardians of the child. The birth record form needs to be submitted to the local city or county clerk's office within 10 days of the child's birth.

How to fill out michigan birth record form?

To fill out a Michigan birth record form, follow these steps: 1. Obtain the form: Visit the Michigan Department of Community Health's website or contact your local county clerk's office to request a copy of the birth record form. You may also be able to find the form online. 2. Provide information about the child: Start by filling in the child's full name, including first, middle, and last names. Specify if the child is a male or female. 3. Enter birth details: Provide the date of birth, including the day, month, and year. Indicate the time of birth, such as morning or afternoon. Specify the county and city or town where the birth occurred. 4. Include parental information: Enter the full names of both parents, including their first, middle, and last names. If either parent has changed their name, provide any previous names. Add the parents' birth dates and places of birth, including the city and state or country. 5. Add parent's contact information: Enter the current residential addresses of both parents, including the street address, city, state, and zip code. Include the parents' phone numbers and email addresses if applicable. 6. Provide parent's social security numbers: Include the social security numbers of both parents. This information is required to ensure accurate identification and record-keeping. If a parent does not have a social security number, provide an explanation in the designated section. 7. Enter information about siblings: If the child has any siblings, provide their names, birth dates, and places of birth. This helps establish family relationships within the birth record. 8. Signature and attestation: Sign the form to certify the accuracy of the information provided. Some forms may require signatures from both parents or guardians if applicable. 9. Submit the form: Once you have completed the form, double-check all the information for accuracy and completeness. Make a copy for your records before submitting it to the appropriate authority, such as the county clerk's office. Follow the provided instructions for submitting the form, which may include mailing it or visiting the office in person. It's important to note that the specific format and requirements of the Michigan birth record form may vary slightly depending on the county or city. Therefore, always refer to the instructions and guidelines provided with the form to ensure you are correctly completing the required information.

What is the purpose of michigan birth record form?

The purpose of the Michigan birth record form is to register the birth of a person and maintain an official record of their birth information. It is used to collect and document relevant details such as the individual's name, date and place of birth, parents' names, and other vital information. This form is essential for legal and administrative purposes, including issuing birth certificates, establishing legal identity, access to government benefits, genealogical research, and demographic analysis.

What information must be reported on michigan birth record form?

The specific information that must be reported on a Michigan birth record form includes: 1. Child's full name (first, middle, and last) 2. Date of birth 3. Time of birth 4. City and county of birth 5. Gender of the child 6. Child's race and ethnicity 7. Child's place of birth (hospital or residence) 8. Mother's full name (maiden and married name if applicable) 9. Mother's date of birth 10. Mother's place of birth (city and state or country) 11. Mother's race and ethnicity 12. Father's full name 13. Father's date of birth 14. Father's place of birth (city and state or country) 15. Father's race and ethnicity 16. Mother's marital status at the time of child's birth 17. Mother's level of education 18. Father's level of education 19. Number of children born to this mother, including the current child 20. Informant's name (individual providing the information for the birth record) 21. Informant's relationship to the child 22. Informant's contact information (address and phone number) Please note that this information is general and may vary slightly based on the specific Michigan birth record form or any additional requirements imposed by the state.

What is the penalty for the late filing of michigan birth record form?

The penalty for the late filing of a Michigan birth record form is not explicitly stated in the publicly available information. However, it is important to note that timely filing of birth records is generally encouraged to ensure accurate and efficient documentation of vital statistics. It is recommended to contact the Michigan Department of Health and Human Services or the local county clerk's office for specific information on penalties or consequences for late filing.

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