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)
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