IRON COUNTY--REQUEST FOR CERTIFIED COPIES

All copies issued by this office are certified copies with a “raised” seal.

Current fees:

$10.00--first certified copy of the record

$ 5.00--additional certified copies (of the same record ordered at the same time) For example: 2 copies: $15.00; 3 copies: $20.00; 4 copies: $25.00, etc.

Exception: There is no charge for Military Discharge requests

Please Print the Information:

Death Record: Number of Copies Requested:

1. Full Name:

2. Date of Death:

3. Did the death occur in Iron County? Yes No

Marriage Record: Number of Copies Requested:

1. Full Name of Male:

2. Full Name of Female at time of application:

3. Date of Marriage:

4. Did the couple APPLY for their license in Iron County? Yes No

Military Discharge: Number of Copies Requested: (No Charge)

1. Name:

2. File Date (if known):

3. Driver’s License/State ID Number:

4. License Expiration Date: Issuing Date:

Business Name Record: Number of Copies Requested:

1. Business Name:

2. File Date (if known):

ALL REQUESTS MUST BE SIGNED:

I, the undersigned, affirm that I am in compliance with Michigan statutes in requesting this record.

*************(Signature)

REQUEST MADE BY MAIL ONLY: Complete your return address only. Fees should be sent in the form of a check or money order payable to Iron County Clerk. Enclose a clear photocopy of your current and valid driver’s license or state ID.

Mail to: Name:

Street Address:

City, State, ZIP :

Daytime Phone Number:

----------------------OFFICE USE ONLY--DO NOT WRITE BELOW THIS LINE-------------

Date mailed/clerk /

No fee/Government Agency ID Verified

No Record--Search fee retained/returned /

Delayed Request (Reason)