MICHIGAN CERTIFICATE OF STILLBIRTH ... - State of Michigan - mich 2026

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  1. Click ‘Get Form’ to open the Michigan Certificate of Stillbirth in the editor.
  2. Begin by filling out Part 1: Applicant’s Information. Enter your name, mailing address, and contact numbers. Ensure that you provide a valid government-issued photo ID number.
  3. In Part 2, sign the application to certify that the information provided is accurate and that you understand the associated fees.
  4. Proceed to Part 3 and specify the purpose for requesting the record. This helps clarify your eligibility.
  5. Complete Part 4 by indicating your eligibility status as per Michigan law. Select appropriate options based on your relationship to the stillborn child.
  6. Fill out Part 5 with detailed information about the child, including full name, date of delivery, place of delivery, and parents' names and dates of birth.
  7. Finally, calculate fees in Part 6. Ensure all amounts are totaled correctly before submitting your application.

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