PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form DCH-0569-SB
for the current year.
Form DCH-0569-SB Application for a Certified Copy- Michigan Certificate of Stillbirth - Michigan
What Is Form DCH-0569-SB?
This is a legal form that was released by the Michigan Department of Health and Human Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DCH-0569-SB?
A: Form DCH-0569-SB is an application form for a certified copy of a Stillbirth Certificate in the state of Michigan.
Q: Why would I need a certified copy of a Stillbirth Certificate?
A: A certified copy of a Stillbirth Certificate may be required for legal purposes, such as for accessing benefits, filing insurance claims, or establishing parental rights.
Q: What information is required on Form DCH-0569-SB?
A: Form DCH-0569-SB requires information such as the name of the stillborn child, date and place of stillbirth, parent's information, and requester's information.
Q: How long does it take to process an application for a certified copy of a Stillbirth Certificate?
A: The processing time for an application can vary, but it typically takes a few weeks to receive a certified copy of a Stillbirth Certificate in Michigan.
Q: Can I request a certified copy of a Stillbirth Certificate on behalf of someone else?
A: Yes, you can request a certified copy of a Stillbirth Certificate on behalf of someone else as long as you are an authorized individual or have legal authority.
Form Details:
- Released on February 1, 2020;
- The latest edition provided by the Michigan Department of Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DCH-0569-SB by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.
Download Form DCH-0569-SB Application for a Certified Copy- Michigan Certificate of Stillbirth - Michigan
1
2
