Form Bcs/cd-901 - Mich-Elf Application

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BCS/CD-901 (Rev. 05/08)

MICHIGAN DEPARTMENT OF LABOR & ECONOMIC GROWTH

BUREAU OF COMMERCIAL SERVICES

CORPORATION DIVISION

Telephone: (517) 241-6470

MICH-ELF APPLICATION

(Do Not Mail This Form)

Fax completed form to: (517) 636-6437 or

Email completed form to: cdfilings@michigan.gov

Complete this form to participate in the MICH-ELF filing program or update your account. For non expedited filings, you may fax

this with your document.

First time MICH-ELF users requesting expedited service must obtain a MICH-ELF filer number prior to submitting a document

for expedited service.

Changes to information on MICH-ELF user's account must be submitted before requesting expedited service.

New Application

Update _______________________

MICH-ELF Filer Number

Applicant

Phone Number

Fax Number Required

State

Street Address

City

ZIP Code

Credit Card (Check One)

VISA

VISA ELECTRON

MASTERCARD

The card will be charged for fees

Card Number _______________________________

associated with this filing. Please keep

page count to 12 pages, including this

Expiration Date ______________________________

application.

Card Issued To ______________________________

(Name of Person)

State

Cardholders Billing Street Address

City

ZIP Code

Phone Number

Contact Person

The Department of Labor & Economic Growth will not discriminate against any individual or group because of race, sex, religion, age, national

origin, color, marital status, disability or political beliefs. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities

Act, you may make your needs known to this agency.