Anne B. Norlander
Calhoun County Clerk and Register of Deeds

315 W. Green St.
Marshall, MI 49068
Phone: (269) 781-0730


You may request a Certified Copy of a Birth Record in person, by mail, or by fax.
Office Hours: Monday through Friday- 8:00 a.m. to 5:00 p.m.
For Information call: (269)781-0718 or FAX: (269)781-0721

Fees
Certified Copy $10.00
Each Additional Certified Copy $5.00
Fax - First Page $3.00
Each Additional Page $1.00

A drivers license or two other pieces of identification are required to obtain an Application for a Certified Copy of a Birth Certificate. If you have any questions about which types of identification are acceptable, please contact the Clerk and Register of Deeds Office at: (269)781-0718.


APPLICATION FOR A CERTIFIED COPY OF A BIRTH CERTIFICATE


Name:______________________________________________________________________
       (first)                (middle)                     (last)

Place of birth:_________________Calhoun__ Date of birth:___________________
                (city/township)   (county)                    (mo.)   (date)   (yr)

Is this person adopted? (check one) ____Yes   ____No    ____Not sure

Mother's maiden name:______________________________________________________
                      (first)            (middle)             (last)

Father's name:_____________________________________________________________
                      (first)            (middle)             (last)

Are you the person named on the first line above? (check one) ___Yes  ___No
If no, what is your relationship to the
person named on the first line above? _____________________________________

Number of Certified Copies desired _________

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Method of Payment: ___Cash  ___Money Order  ___Check
Charge My: ___  ___
~Card Number~                                    ~Expires~
_|_|_|_| - _|_|_|_| - _|_|_|_| - _|_|_|_|        _|_| - _|_| (MO-YR)

Signature___________________________________________________ - ____________
(Needed to process your order)

To print, choose PRINT from your browser.
If this form has run-on lines, try this one.
back