
MAIL OR COUNTER APPLICATION FOR A www.michigan.gov/mdch ____________________________
MICHIGAN DIVORCE OR ANNULMENT RECORD STATE FILE NUMBER (If Known)
APPLICANT (PERSON REQUESTING RECORD) PLEASE PRINT CLEARLY AND LEGIBLY DATE: / /
Applicant=s Name:
Address: City/State/Zip:
ΚΚ
APPLICANT==S SIGNATURE:
ΚΚ
(Sign Here) _____________________________________________________________
Must be signed in order to process
Daytime Phone: ( ) _______________________________
Home Phone: ( ) _________________________________
REQUESTED
DIVORCE
OR
ANNULMENT
INFO
If the exact date of the divorce or annulment is unknown, please indicate
which year you want us to search. 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.
DATE OF DIVORCE OR
ANNULMENT
_____________________________________
Month Day Year
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:
REQUESTING A 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 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 or annulment
record if the application is completed and signed and the required fee is
paid.
DCH-0569-DIV Rev 3/9/06 By Authority of MCL 333.2882(1)(d), MCL 333.2883(2) and MCL
333.2891(1-4)
PAYMENT MUST BE MADE IN U.S. FUNDS BY CHECK OR
MONEY ORDER PAYABLE TO THE AA STATE OF MICHIGAN@@
Fees are established by state statute. A search fee covers the cost of the
basic search and includes either one copy of the record or an official statement
that the record could not be located in the state files. Payment for additional
copies will be refunded if the record cannot be located. A refund check would
be mailed to you by the Department of Treasury, usually within 3-4 weeks.
Search (Non-Refundable)
Includes One Certified Copy
_______ Additional Copies (Each)
$ 26.00
$ 12.00
$
$
* EXPEDITED SEARCH (Non-Refundable)
(In addition to the regular search fee)
$ 10.00
Additional
$
* Additional Search When Exact Date is
Unknown:
$26.00 fee includes a 3-year search
Each additional year is $12.00 per year
Specify Which Additional Years to be
Searched:
_______________________________
No. Years
________
$ 12.00
each
$
TOTAL ENCLOSED:
$
WE CANNOT PROCESS YOUR REQUEST WITHOUT PAYMENT. IF
MAILING, PLEASE REMEMBER TO INCLUDE CHECK OR MONEY ORDER.
IF REGULAR SEARCH MAIL TO
: IF EXPEDITED SEARCH MAIL TO:
VITAL RECORDS REQUESTS VITAL RECORDS RUSH
PO Box 30721 PO Box 30721
Lansing MI 48909 Lansing MI 48909
QUESTIONS: (517) 335-8666
PURPOSE FOR REQUESTING RECORD
__________________________________________________________
__________________________________________________________
TURN-AROUND TIME - For regular and expedited mail requests, please
allow additional time for mailing and our department=s receipting of your
payment.
* EXPEDITED SEARCH - If you pay the expedited search fee (in addition to the
regular search fee), a counter request will be processed in 1-3 hours if divorce year is
1925 to the present. For a mail request, if divorce year is 1925 to the present, your
request will be processed within 2 weeks of receipt in the vital records office. For a
counter or mail request, if divorce year is prior to 1925, the processing time will be 3
weeks.
* EXPEDITED SERVICE - Applies to standard three-year searches. Not available
for extra year searches.
REGULAR SEARCH - If the divorce year is 1925 to the present, your request will be
processed within 4 weeks of receipt in the vital records office. If the divorce year is prior
to 1925, the processing time will be 1-3 months.