Outline
The Michigan Application Birth form is an essential document for anyone looking to correct or change details on a Michigan birth record. This form is managed by the Michigan Department of Health and Human Services and is designed to help individuals ensure that their birth records accurately reflect their personal information. To begin the process, applicants must clearly print their name, address, and contact information, including a daytime phone number and email address if they wish to receive notifications electronically. It's crucial to provide valid photo identification to protect against identity theft. Eligibility to request changes is limited to specific individuals, such as the person named on the record, their parents, or legal guardians. The form also requires applicants to specify the type of change they are requesting, whether it’s correcting information for someone under one year old or a court-ordered legal name change. Additionally, applicants must provide supporting documentation to validate their requests, as outlined in the form. The application includes details on fees, processing times, and penalties for false applications, ensuring that all parties are informed about the process. By following the guidelines set forth in the Michigan Application Birth form, individuals can navigate the necessary steps to update their birth records efficiently.
Sample - Michigan Application Birth Form
APPLICATION TO CORRECT OR CHANGE A MICHIGAN BIRTH RECORD
Michigan Department of Health and Human Services
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For additional information: |
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MAIL APPLICATION AND PROPER FEE TO: |
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Vital Records Changes |
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www.Michigan.gov/VitalRecords |
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P.O. Box 30721 |
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Lansing MI 48909 |
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APPLICANT (PERSON REQUESTING CHANGE OR CORRECTION) |
PLEASE PRINT CLEARLY AND LEGIBLY |
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Applicant's |
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Name: |
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Address: |
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(Cannot send to General Delivery) |
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City/State: |
Zip: |
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Daytime Phone Required: ( |
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Notifications by email? Yes No |
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Email Address:
To protect from identity theft, PHOTO IDENTIFICATION must be presented along with this application. (See back for details)
ELIGIBILITY (Please check which category makes you eligible to request this change or correction)
To be eligible to correct or change a birth record, you must be the person named on the record and at least 18 years old, a parent named on the record, or a
copy of the court guardianship documents. Legally licensed representatives must provide information on official letterhead, documenting that he/she represents
the person named on the record and provide their state bar license number, along with client’s identification.
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Person named on the record |
□ Legal guardian of the person named on the record |
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(Must be at least 18 years old or legally emancipated) |
□ Legally licensed representative of the person named on the record |
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Parent named on the record |
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TYPE OF CHANGE OR CORRECTION REQUESTED |
(Please indicate below which type of change or correction you are requesting) |
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□Correct birth record information for a person under the age of 1 (one)
□Correct birth record information for a person age
□Correct birth record information for a person over the age of 6 (six)
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□Name change for parents who have married after the birth (marriage record required)
□Remove a person who is not the biological parent/father (court order required)
There is a separate application if you need to add a parent/father’s name to a birth record when there is no parent/father currently named on the record.
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INFORMATION NEEDED TO LOCATE BIRTH RECORD TO BE CHANGED |
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If any birth information is unknown, please indicate unknown |
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STATE FILE NUMBER (If known) |
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NAME |
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GENDER |
DATE OF BIRTH |
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First |
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Middle |
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Last |
□ Male |
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(mm/dd/yyyy) |
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BIRTH |
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□ Female |
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IF THE PERSON ON RECORD IS ADOPTED OR HAS HAD |
□ Adoption |
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A LEGAL NAME CHANGE (OTHER THAN MARRIAGE) |
□ Legal Name |
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PLEASE INDICATE THAT NAME HERE |
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Change |
First |
Middle |
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Last |
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PLACE OF |
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BIRTH |
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Hospital |
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City |
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County |
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PARENT/MOTHER'S |
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PARENT/FATHER'S |
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NAME BEFORE |
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NAME BEFORE |
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FIRST MARRIED |
First |
Middle |
Last |
FIRST MARRIED |
First |
Middle |
Last |
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SEE BACK FOR CURRENT FEES, PHOTO ID |
REQUIREMENTS AND PROCESSING TIMES |
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CHANGES REQUESTED: ITEM IN ERROR |
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INFORMATION AS IT SHOULD APPEAR |
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SIGNATURE(S) REQUIRED TO PROCESS APPLICATION. When two parents are named on the record, both parents’ signatures and current, valid photo identification are required to correct, add or change a child’s name, unless a court order of legal name change is supplied.
Signature of Person |
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Requesting Change |
Date |
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Other Signature |
Date |
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REQUIRED DOCUMENTATION
Changes or corrections to birth records that can be made by this office are limited by law and are subject to very specific supporting documentation. In general, you must include with this application, at least two (2) pieces of dated documentary evidence. To change any part of the name requires two documents dated close to the time of birth. (Exception: Only one document dated five years ago is required to correct the spelling of the first or middle name of the person named on the record). If you are requesting that the name on the record be changed due to a legal name change, only the court order is needed for documentation. If you need more information or have questions, you may call our Changes Unit direct at
PAYMENT - The fee for correcting or changing a Michigan birth record is $50.00 and includes one copy of the record with the changes made. Additional copies of the new record are available for $16.00 each when ordered at the same time. Payment must be by check or money order and made payable to the "State of Michigan."
PROCESSING TIME – Normal processing time for all changes or corrections will be
Application Fee |
$50.00 |
$ 50.00 |
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Fee includes one (1) certified copy of |
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the record |
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________ Additional Certified Copies |
$16.00 Each |
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Rush Fee |
$25.00 |
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TOTAL ENCLOSED |
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$ |
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PENALTIES: Any person who willfully and knowingly makes false application to change a Michigan birth record may be fined and/or imprisoned pursuant to MCL 333.2894(1)(b) and (c).
For Accounting Use Only
The Michigan Department of Health and Human Services (MDHHS) does not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, genetic information, sex, sexual orientation, gender identity or
expression, political beliefs or disability.
Note: Applications sent to the Vital Records post office box with an
overnight delivery are not received in Vital Records for three (3) days.
PHOTO ID REQUIREMENTS FOR CHANGING OR CORRECTING
A MICHIGAN BIRTH RECORD
*Please Send Photocopies – Not Original Documents*
Under Michigan law, birth records are restricted documents. To request a birth record, a current valid, government issued identification is required to establish eligibility (except for an unrestricted birth record that is at least 100 years old). To protect from identity theft, a copy of the applicant’s government issued identification must be presented along with the application and fees.
Tier 1 Documentation that establishes identity by itself.
U.S. or Foreign Passport
U.S. Passport Card
U.S. or U.S. Territories Driver’s License or Identification Card
U.S. Military Identification Card with both picture and signature
Other U.S. or U.S. Territories issued document that meets the following criteria: Document must be unexpired. Document must contain a photograph and at least the following information: name, date of birth, date of expiration, signature, and address.
Tier 2 Documentation must include all documentation in one of the categories below:
Any of the documents in Tier 1 that expired within the past 5 years and any one document from Tier 3 issued within the past year.
Employment identification with photo, accompanied with a pay stub or
Student identification with photo, accompanied by a current report card or other proof of current school enrollment. Both documents must be for the same institution.
Department of Corrections identification card accompanied by probation or discharge papers issued within the past year.
If an inmate is currently incarcerated, a Department of Corrections identification card, accompanied by a verification of incarceration issued within the past year.
Tier 3 Documentation must include at least three alternative documents of different types from the list below, one must have been issued within the past year:
Any of the documents in Tier 1 expired more than 5 years.
Social Security Card (must be signed)
Marriage or Divorce certificate
Your child’s birth certificate
IRS form
Paycheck stub
Bank statement
Voter registration
Motor vehicle registration
Health insurance card
Utility Bill
Doctor/hospital/dentist bill
Religious/community organization documents, baptismal certificate
Military
School records
Letter/benefit statement from a government agency, like SSA or
IRS
Land or rental agreement
Military ID with either a picture or signature.
Other documents that establish identity to a degree equivalent to those listed above.
Form Information
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| Governing Law | The Michigan Application Birth form is governed by MCL 333.2871(1) and MCL 333.2891(10). |
| Eligibility Requirements | To request a change or correction, you must be the person named on the record, a parent, or a legal guardian. You must be at least 18 years old or legally emancipated. |
| Application Fee | The fee for correcting or changing a birth record is $50. This includes one certified copy of the updated record. |
| Processing Time | Normal processing time for changes is 5-6 weeks. For an additional fee, rush processing can reduce this to 2-3 weeks. |
| Photo ID Requirement | A current, valid government-issued photo ID must be submitted with the application to prevent identity theft. |
Detailed Guide for Filling Out Michigan Application Birth
Completing the Michigan Application to Correct or Change a Birth Record requires careful attention to detail. Each section of the form must be filled out accurately to ensure a smooth processing experience. After submitting the application, the processing time typically spans 5 to 6 weeks, although expedited options are available for an additional fee.
- Obtain the Application: Download the Michigan Application to Correct or Change a Birth Record from the Michigan Department of Health and Human Services website or request a physical copy.
- Fill Out Applicant Information: Clearly print your name, address, city, state, zip code, and daytime phone number. Indicate if you wish to receive notifications by email and provide your email address.
- Provide Photo Identification: Prepare a photocopy of a current, valid government-issued photo ID to submit with your application.
- Check Eligibility: Mark the appropriate box that identifies your eligibility to request the change or correction. Options include being the person named on the record, a parent, or a legal guardian.
- Indicate Type of Change: Select the type of change or correction you are requesting from the provided options, such as correcting birth record information or a legal name change.
- Provide Birth Record Information: Fill in the details needed to locate the birth record, including the state file number (if known), name, gender, and date of birth.
- Complete Parent Information: Enter the names of the parents as they appear on the birth record, including any changes due to marriage or legal name changes.
- Sign and Date the Application: Ensure that both the applicant and any other required signatories provide their signatures and the date on which the application is submitted.
- Prepare Required Documentation: Gather at least two pieces of dated documentary evidence to support your application. If applicable, include a court order for legal name changes.
- Calculate Payment: Include the appropriate payment amount for the application fee, additional copies, and any rush processing fees. Make checks or money orders payable to "State of Michigan."
- Mail the Application: Send the completed application, payment, and required documents to the address provided on the form.
Obtain Answers on Michigan Application Birth
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What is the Michigan Application Birth form used for?
The Michigan Application Birth form is designed for individuals seeking to correct or change information on a Michigan birth record. This may include updating names, correcting errors, or reflecting legal name changes. It is important for maintaining accurate records, which can be essential for various legal and personal reasons.
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Who is eligible to request changes or corrections to a birth record?
Eligibility to request changes or corrections is limited to specific individuals. You must be:
- The person named on the record and at least 18 years old,
- A parent named on the record, or
- A court-appointed legal guardian or legally licensed representative of the person named on the record.
If you are a legal guardian, you will need to include a copy of the court guardianship documents. Legally licensed representatives must provide documentation on official letterhead, including their state bar license number.
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What documentation is required to process the application?
To successfully process your application, you must include at least two pieces of dated documentary evidence. If you are changing any part of the name, documents dated close to the time of birth are necessary. However, if you are correcting the spelling of a first or middle name, only one document dated five years ago is needed. For legal name changes, a court order suffices as documentation.
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What are the fees associated with the application?
The fee for correcting or changing a Michigan birth record is $50.00, which includes one certified copy of the updated record. If you wish to order additional copies at the same time, they are available for $16.00 each. Payment must be made via check or money order, payable to the "State of Michigan." Please note that this fee is non-refundable.
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How long does it take to process the application?
Typically, the processing time for changes or corrections is around 5-6 weeks from the date all required documentation, payments, and photo identification are received by the State Vital Records Office. If you need faster service, a rush processing option is available for an additional fee, reducing the wait to approximately 2-3 weeks.
Common mistakes
When filling out the Michigan Application Birth form, individuals often make several common mistakes that can lead to delays or denials of their requests. One frequent error is failing to provide complete and accurate contact information. The form requires an applicant’s name, address, city, state, zip code, and a daytime phone number. Omitting any of these details can hinder communication and result in processing delays.
Another mistake involves not checking the eligibility category accurately. Applicants must select the appropriate box that identifies their relationship to the person named on the birth record. Misunderstanding this section can lead to an application being rejected, as only specific individuals, such as the person named on the record, a parent, or a legal guardian, are eligible to request changes.
Inaccuracies in the information needed to locate the birth record can also cause issues. Applicants often forget to include critical details such as the state file number, date of birth, or place of birth. Providing incorrect or incomplete information can complicate the retrieval process and delay the application.
Many applicants neglect to include the required documentation with their application. The form specifies that at least two pieces of dated documentary evidence are necessary for most changes. Failing to provide these documents, or including documents that do not meet the specified criteria, can result in an immediate denial of the application.
Moreover, some individuals overlook the necessity of submitting a current, valid photo ID. This identification is crucial for establishing eligibility and protecting against identity theft. Not including a photo ID can lead to the application being returned, requiring the applicant to resubmit with the necessary identification.
Additionally, applicants sometimes misinterpret the payment instructions. The application fee must be paid by check or money order made out to the "State of Michigan." Errors in the payment method or amount can cause processing delays or even rejection of the application.
Another common oversight is the failure to sign the application. The form requires signatures from the person requesting the change, and if applicable, from both parents. Not providing the necessary signatures can lead to an incomplete application, necessitating further action from the applicant.
Some applicants also fail to consider the processing times outlined in the form. Normal processing can take 5-6 weeks, and those needing faster service must pay an additional rush fee. Not accounting for this timeframe can lead to frustration, especially if the changes are time-sensitive.
Lastly, individuals often send their applications to the wrong address or use incorrect mailing methods. Applications sent to the Vital Records post office box via overnight delivery may not be received for several days. Ensuring that the application is sent to the correct address using the appropriate mailing method is essential for timely processing.
Documents used along the form
The Michigan Application Birth form is an essential document used for correcting or changing a birth record in Michigan. However, several other forms and documents may accompany this application to ensure a smooth and efficient process. Below is a list of commonly utilized forms and documents that often accompany the Michigan Application Birth form.
- Photo Identification: A valid government-issued ID is required to protect against identity theft. Acceptable forms include a driver's license, passport, or military ID. This identification must be submitted as a photocopy along with the application.
- Court Guardianship Documents: If the applicant is a legal guardian, they must provide a copy of the court order that establishes guardianship. This document verifies the applicant's authority to make changes on behalf of the individual named on the birth record.
- Marriage Certificate: When a parent has changed their name due to marriage after the birth of the child, a copy of the marriage certificate is necessary. This document serves as proof of the name change and must be included with the application.
- Legal Name Change Order: If the request involves a legal name change, a certified copy of the court order is required. This document substantiates the change and is crucial for updating the birth record accordingly.
- Documentary Evidence: To support the application, at least two pieces of dated documentary evidence are needed. This may include documents like school records, bank statements, or other official papers that verify the requested changes.
Incorporating these documents alongside the Michigan Application Birth form can significantly expedite the process of correcting or changing a birth record. Ensuring that all required materials are included will help avoid delays and facilitate a smoother experience for the applicant.
Similar forms
- Application for a Social Security Card: Similar to the Michigan Application Birth form, this application requires personal information, proof of identity, and eligibility documentation. Both forms are essential for establishing a person's identity and legal status.
- Passport Application: Like the birth application, a passport application demands proof of identity, including a birth certificate or other official documents. Both processes involve verifying the applicant's identity to prevent fraud.
- Driver’s License Application: This application also necessitates proof of identity and residence. Both the driver’s license and birth record applications serve as fundamental identification documents in the U.S.
- Voter Registration Form: Similar in its need for personal information and proof of identity, this form ensures that individuals can participate in elections. Both documents confirm eligibility and identity for civic duties.
- Marriage License Application: This application requires personal details and proof of identity, paralleling the requirements of the birth record application. Both forms are critical in establishing legal relationships and identities.
- Change of Name Application: Just like the Michigan Application Birth form, this document requires proof of identity and the reason for the name change. Both processes are designed to ensure that changes are legally recognized and documented.
- Adoption Petition: This document shares similarities with the birth application in that it requires detailed personal information and supporting documentation. Both are vital for establishing legal relationships and identities in the eyes of the law.
Dos and Don'ts
When filling out the Michigan Application Birth form, it is crucial to follow certain guidelines to ensure your application is processed smoothly. Here are nine things you should and shouldn't do:
- Do print clearly and legibly. Your handwriting should be easy to read.
- Don't send your application to a General Delivery address. Provide a specific address.
- Do include a valid photo ID. This is necessary to protect against identity theft.
- Don't forget to check the eligibility criteria. Make sure you qualify to request the change or correction.
- Do indicate the type of change or correction you are requesting. Be specific about what you need.
- Don't leave any required fields blank. Fill out every section completely.
- Do include all necessary supporting documents. This may include court orders or marriage records.
- Don't submit original documents. Always send photocopies instead.
- Do ensure that your payment is correct and made out to the "State of Michigan." Double-check the total amount.
Following these guidelines can help avoid delays and ensure that your application is processed efficiently.
Misconceptions
Here are four misconceptions about the Michigan Application Birth form:
- Only the person named on the birth record can request changes. This is not entirely true. Parents and legal guardians can also request changes, provided they submit the necessary documentation.
- A court order is always required for name changes. This is misleading. A court order is only necessary for a legal name change. For other types of corrections, different documentation may suffice.
- All changes can be made without supporting documents. This is incorrect. Specific supporting documents are required for any change or correction. Failure to provide these can result in the application being denied.
- There is no fee for processing changes. This is false. A fee of $50.00 is required for processing the application, and additional fees apply for extra copies.
Key takeaways
Here are some key takeaways about filling out and using the Michigan Application Birth form:
- Eligibility Requirements: You must be the person named on the birth record, a parent, or a legal guardian to request changes.
- Documentation Needed: At least two pieces of dated evidence are required to support your application. If changing a name due to a legal name change, only the court order is necessary.
- Photo ID Requirement: A current, valid photo identification must be included with your application to protect against identity theft.
- Application Fee: The fee for correcting or changing a birth record is $50. This includes one certified copy of the updated record.
- Processing Time: Normal processing takes 5-6 weeks. Rush processing is available for an additional fee and takes 2-3 weeks.
- Signature Requirement: Both parents’ signatures are needed for changes involving the child’s name, unless a court order is provided.
- Mailing Instructions: Applications should not be sent to General Delivery. Instead, use the provided address to ensure proper delivery.