DEFIANCE TOWNSHIP

Electronic Records Request Form

Please fill in the information below and click "submit" to forward your request to Defiance Township.

Record(s) requested?

Birth

Death

Marriage

Probate

Civil

Criminal

Divorce

Other (specify):

 

Purpose of Request?

Other:

 

Please list name(s), date(s) and/or case file number(s):

 

Requester information: personal information is not mandatory & the request will not be denied if the information is not provided.

Name
Address:
City:
State
Zip:
Tel:
Fax:
Email:
Date:

If you prefer to mail your Records Request Form, click on the following text for a printable Records Request Form (pdf format)

Revised: February 2007