Genealogy Research - Record Verification Form printable pdf download

Genealogy Research - Record Verification Form

IONIA COUNTY CLERK’S OFFICE

Tonda Rich, Ionia County Clerk

100 W Main Street, Ionia, MI 48846; 616.527.5322

GENEALOGY RESEARCH - RECORD VERIFICATION FORM

The County Clerk’s Office will verify two items of information at no charge. More than two (2) verifications, will be $2 each.

I am requesting verification of information on the following type of record:

□ Birth Record

Person’s name:

Year of Birth:

I am requesting verification of the following information from this record:

Clerk’s Office Verification:

□ Death Record

Decedent’s name:

Year of Death:

I am requesting verification of the following information from this record:

Clerk’s Office Verification:

□ Marriage Record

Bride’s maiden name:

Groom’s name:

Year of Marriage:

I am requesting verification of the following information from this record:

Clerk’s Office Verification:

Person Requesting Verification:

Office Use Only:

Name:

Information verified by:

Address:

(initials)

Payment received, if applicable:

City, State, Zip:

Record verification sent/returned to applicant

Phone:

on:

Genealogy Research - Record Verification Form