Death Certificate Request

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Death Record Request Information

Registrant Information: Death Records are recorded in the county in which the death took place. Your request can be processed ONLY if the death took place in Washtenaw County, Michigan. Customers must use a credit card issued in their own name.

Please provide the following information pertaining to the deceased. All fields must be completed.

My Name is:	First*	Last*
Full Name of deceased at time of death:	First*	Middle	Last*
Did the death occur in Washtenaw County? Yes No
City/Township/Village of death:
Date of death:*	/ / [MM/DD/YYYY]
This is an	exact date approximate date
Any other information you have such as year of birth, place of birth, or parent's name:
Number of copies required:

The issuance of certified copies is governed by Michigan statutes. The statutes are available for inspection. In clicking "Add to Cart", I affirm that I am in compliance with Michigan statutes in requesting the above order.
Please click here to review Michigan statutes.