Michigan Statement of No Marriage Application (DCH-0569-NO MX)
Official state formRecord search and verificationForm DCH-0569-NO MXFree downloadLast verified November 10, 2026
Application for a statement that no Michigan marriage record was found for the applicant in the years searched, used to prove single status. It is mailed with payment and ID to the MDHHS Vital Records office in Lansing.
Who can use this form
- The prospective bride or groom must be the applicant.
- If both the prospective bride and groom are Michigan residents, each must send a separate application.
- The applicant must sign by hand in ink and send identification.
What to send with it
- The completed application, signed by hand in ink.
- The years to search. The statement covers only the years searched, so list and pay for every year you need.
- A photocopy of valid identification, such as a driver's license, state ID card, passport, or military ID. Originals are not returned.
- A check or money order made out to the "State of Michigan".
- For rush service, add the rush fee and address the envelope to "Vital Records RUSH" at the same P.O. box.
Where to send it
- Mail to
- Vital Records Requests P.O. Box 30721 Lansing MI 48909
- State fee
- $34 base fee (includes one year of search); $12 per additional year searched; $16 per additional certified copy; $12 extra for rush processing.
- Typical processing
- Regular: about 4 to 6 weeks of in-office processing, then regular mail. Rush: about 2 to 3 weeks of in-office processing, then regular mail.
- Form revision
- Rev. 10-24
- Source
- Official government page