APPLICATION FOR AN AUTHENTICATED MARRIAGE CERTIFICATE


MAIL APPLICATION
FOR AN AUTHENTICATED
MICHIGAN MARRIAGE 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 MARRIAGE                                         DATE OF MARRIAGE
INFORMATION
                                                                                    _______________________
                                                                                      Month         Day          Year


IF THE EXACT DATE OF THE MARRIAGE 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.


Groom's Name:   
_______________________________________________
                                                First                        Middle                     Last

Bride's Name at
Time of Application
for Marriage License: 
___________________________________________
                                                First                          Middle                      Last

Location of
Marriage:
______________________________________________________
                                        City                           County                      State

County Where License was Obtained:
______________________________

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REQUESTING AN AUTHENTICATED MICHIGAN MARRIAGE RECORD
The Michigan Vital Records office has records of marriages that occurred in Michigan
and were filed with the state since 1867.  Some of the records were not filed with the state. 
Anyone is eligible to request a copy of a Michigan marriage record if the application is
completed and signed and the required fee is paid.  The groom's name is required to do
a search for the years 1950 thru 1975.


If requested, this office will conduct a search to determine that a marriage has not
occurred in the State of Michigan for purposes of a forthcoming marriage in a foreign country.  
The applicant must specify exactly which years to search, usually from age 18 to the present,
or the span of years that you resided in Michigan.


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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 Record Requests
PO Box 30721
Lansing MI 48909

DCH-0569-MXAUTH Rev 06/2001 By authority of MCL 333.2882 (1)(2) and MCL 333.2891(1-4)