APPLICATION FOR AN AUTHENTICATED  DIVORCE CERTIFICATE


MAIL APPLICATION
FOR AN AUTHENTICATED
MICHIGAN DIVORCE RECORD 


Authenticated (exemplified or containing an Apostile) records are typically required by foreign governments for an adoption, work visas, marriage in a foreign country or establishing residency.  You must specify which country  requires the document.  The processing of an authenticated certificate takes approximately 2 to 3 weeks after receipt in the Vital Records office.   Please allow additional time for mailing and our Department's receipting of your payment.     


                                                                                            _________________________
                                                                                                        State File Number
                                                                                                                  (If Known)

Mail application with payment to:              
VITAL RECORDS REQUESTS                                                
P.O. Box 30721                                                                 
              
Lansing, Michigan 48909 
                                                                      

PLEASE READ AND FOLLOW INSTRUCTIONS
For additional information: Call
(517) 335-8666

PLEASE PRINT CLEARLY AND LEGIBLY

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APPLICANT INFORMATION      (Person Requesting Record)  
    

Date: ___________________________________

Applicant's Name: ____________________________________________________

Address: ___________________________________________________________

City/State/Zip________________________________________________________

Daytime phone number to contact you if there is a problem:  (            ) ______________

  WB01512_.gif (115 bytes)         APPLICANT'S SIGNATURE:

                    ____________________________________________
                       (Must be Signed in Order to Process)

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  WB01512_.gif (115 bytes)      Please specify which country requires the document: ________________

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REQUESTED DIVORCE OR
ANNULMENT INFORMATION

  
                                                                DATE OF DIVORCE OR ANNULMENT

  
                                                             __________________________________
                                                                            Month           Day            Year


IF THE EXACT DATE OF THE DIVORCE OR ANNULMENT IS UNKNOWN

Please indicate the year you want searched.  If the record is not found in that year's files,
we will search the files for the year before and the year after.  If you want additional
years searched, please see the payment box for additional information.

Name Of Husband: _____________________________________________________
                                                First                        Middle                     Last

Wife's Name at
Time of Divorce
or Annulment: 
________________________________________________________
                                                First                          Middle                      Last

County Where Divorce or Annulment was Granted: ______________________________

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REQUESTING AN AUTHENTICATED MICHIGAN DIVORCE OR
ANNULMENT RECORD

The Michigan Vital Records office has records of divorces that occurred in Michigan
and were  filed with the state since  1897.  Some of the records were not filed with the state. 
We have no divorce records for Detroit for 1973 and 1974.  Anyone is eligible to request a
copy of a Michigan divorce record if the application is completed and signed and the required
fee is paid. 

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PAYMENT AND FEES


SEARCH FEES ARE NON-REFUNDABLE:  Fees are established by state statute.  A search fee covers the cost of the basic 3-year search and includes either one authenticated copy of the record or an official statement that the record is not filed with the state.  A basic search includes the files for the year specified as the death year, as well as the year before and the year after. 

REFUNDABLE FEES:  Payment for additional copies will be refunded if the search indicated that the record is not filed with the state.  A refund check would be mailed to you by the Department of Treasury, usually within 3-4 weeks.


Payment must be made in U.S. funds by check or money order payable to the State of Michigan.  No order will be processed without proper fee submitted with a signed application.

Basic Search (Non-Refundable) Includes One Authenticated Copy $18.00 $  __________

Add'l Authenticated Copies    Add'l Copies Ordered:   _________ $8.00 $  __________
Each Add'l
Copy    

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TOTAL ENCLOSED $  ___________


The processing of an authenticated certificate takes approximately 2 to 3 weeks after receipt in the Vital Records office.   Please allow additional time for mailing and our Department's receipting of your payment.     


Mail application with payment to:
Vital Records Requests
PO Box 30721
Lansing MI 48909



DCH-0569-DIVAUTH Rev 06/2001 By authority of MCL 333.2882 (1)(a), MCL 333.2883(2)  and MCL 333.2891(1-4)