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Michigan Birth Certificate Order Form

Birth Certificates are available for order from this website for events that occurred within the State of Michigan. The date range for the selected VitalChek product is displayed after the certificate location is selected.

ID Requirements must be met before certificate is issued. You will receive an email with your completed Birth Certificate application and customized instructions providing all the information you need to know about submitting photocopies of your ID with your application.

Items with an * asterisk are required fields.

Birth information of the Person on Record

City/County of Birth: Please select the exact city and county of birth for the subject of the certificate.

City of Birth for the Subject

County of Birth for the Subject

Date of Birth: The exact date of birth of the person listed on the certificate.

Subject's Date of Birth (MM-DD-YYYY)

Click the MM-DD-YYYY field to open the calendar. Click on THE YEAR to type the correct year. Use the arrows to navigate to the month and then select the day.

Gender

Hospital of Birth

Information About the Requestor

IMPORTANT: The requestor is the person ordering the certificate, not the person named on the certificate. If you are ordering your own certificate, you are both the requestor and the subject. The name of the credit card holder must be the same as the requestor.

First Name of Requestor

Middle Name of Requestor

Last Name of Requestor

Phone Number

Alternate Phone Number

Email Address

Confirm Email Address

State Driver's License or Identification Number

Your Relationship with the Person on Record

Information: If you are not named on the record you may be required to provide proof of Relationship, Entitlement, and/or Court Documents.
Important: The relationship selected must match your relationship to the subject exactly

Relationship To Subject

Relationship to Decedent

Decedent's Name at Time of Death

State Where Death Occurred

Date of Death (Year)

Note: If Death did not occur in Michigan the death record will be required when requested.

Reason for Request

Full name of the Person on Record

ADOPTED? Please visit our FAQ section for important information.

Current name of subject: Enter the subject's current name here. If the name printed on the birth certificate differs, enter that exact recorded name in the separate fields below.

First Name of Subject at Birth

Middle Name of Subject at Birth

Last Name of Subject at Birth

Is the person named on the record adopted?

Subject's Adopted Name: The exact name on Record After Adoption

First Name of Subject after Adoption

Middle Name of Subject After Adoption

Last Name of Subject After Adoption

Name of Adoptive Mother: Please enter both the current last name and the maiden last name of the Adoptive mother.

First Name of Adoptive Mother

Middle Name of Adoptive Mother

Last Name of Adoptive Mother

Maiden Last Name of Adoptive Mother

Name of Adoptive Father: Select "unknown" If the father is unknown or was not listed on the birth certificate.

Adoptive Father's Status

First Name of Adoptive Father

Middle Name of Adoptive Father

Last Name of Adoptive Father

Is the Subject’s current name different from the original birth record?

IMPORTANT: Please provide additional information to assist with finding the birth record being requested.

Name Change Details

Marriage Details: Court Ordered New Legal Name (court order must be provided)

Place of Marriage (State)

Date of Marriage

Click the MM-DD-YYYY field to open the calendar. Click on THE YEAR to type the correct year. Use the arrows to navigate to the month and then select the day.

Legal First Name

Legal Middle Name

Legal Last Name

Name on the birth certificate: If the current name, maiden name, adoption or legal name change makes the recorded name different or uncertain, enter the exact name printed on the certificate below. Do not infer it from a maiden or original name. Leave these fields blank only when the subject name above is also the recorded name.

First Name Exactly on Birth Certificate

Middle Name Exactly on Birth Certificate

Leave blank if no middle name appears on the certificate.

Last Name Exactly on Birth Certificate

Suffix Exactly on Birth Certificate

Mother/Parent's Full Name

First Name of Mother

Middle Name of Mother

Maiden Last Name of Mother

Suffix of Mother

Father/Parent's Full Name

First Name of Father

Middle Name of Father

Last Name of Father

Suffix

I confirm the subject's and parents' names are correct, including any matching or different last names

VitalChek may ask you to confirm matching or different parent and subject last names. Check this only after reviewing the names above.

Delivery Information

IMPORTANT: The delivery address must match the requestor's ID.

Address Line 1

Unable to deliver to PO Box if UPS is selected as a shipping option

Address Line 2

Unable to deliver to PO Box if UPS is selected as a delivery option

City

State

Zip/Postal Code

Billing Address

Same as Delivery Address

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip/Postal Code

Certified Copy of Michigan Birth Certificate - $125.00 Application Order Completion Fee

Number of Copies

Qualifying Review

Important: Does not include ID verification and delivery times.

Michigan State & Agency Fee$34.00 per certificate ($16.00 each additional certificate)

Important: State and Agency Fees are subject to change. All processing and delivery times are not guaranteed and may change without notice.

Credit Card Details

Important: We currently accept Visa and Mastercard only. Other forms of payment, including American Express, Discover and digital wallets, are not supported at this time.

Credit Card Number

Credit Card Expiry Date (MM/YY)

Credit Card Security Code

Important: This is a 3-digit code on the back for Visa and Mastercard.

We only accept Visa and Mastercard.

Order Summary

Michigan Birth Certificate Qty: Not specified

Online Processing Fee: Not specified

Qualifying Review: Not specified

Total: Not specified

IMPORTANT: The total price will be calculated and shown once all required fields on this order form have been completed.

Verify Order

1. I understand US Vital Certs offers professional advice and provides support to help eliminate errors when applying for vital certificates. US Vital Certs assists in verifying that applications are accurate to avoid delays in processing. US Vital Certs is not operated, licensed, or affiliated with any government agency.

2. I understand ID verification must be met before I receive any vital certificate. I understand I will receive an email with my customized package from US Vital Certs with instructions on how to send a copy of my government issued ID for verification. I understand this package will include my completed birth certificate application.

3. I accept the Terms of Service, including the refund and cancellation policies.

Type your full name in the field below. Typing your full name constitutes a signature and an agreement that you have read and agreed to all the provisions above. It additionally affirms that all information provided on this order form is complete and accurate and that you are an authorized individual to obtain the requested vital certificate.

Type your full name in the field below to submit your order.

Before submitting your order, please take a moment to review your information.
Incorrect information provided will lead to delays and could possibly cancel your order.