M-1009, AFFIDAVIT CLAIMING LOST, DESTROYED, NOT ... - mfia state mi-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the county name in the upper left corner of the form after 'County of...'.
3. Check the box for 'Undeliverable' if applicable and enter the disposition code for undeliverable warrants.
4. Fill in the CIS Transaction Number and Warrant Number that requires replacement.
5. Input the warrant date in six-digit format (MM/DD/YY) and specify the warrant amount requested for replacement.
6. Provide the original payee's name as listed on the warrant and enter the DSS case number along with its name.
7. Indicate whether the warrant was lost, stolen, not received, or destroyed by checking the appropriate boxes.
8. Complete delivery address details for where to send the replacement warrant.
9. Ensure both you and a notary public sign and date each copy of the form as required.

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