Order Establishing Death Of Accident Or Disaster Victim {PC 550}

Approved, SCAO OSM CODE: OED STATE OF MICHIGAN FILE NO. ORDER ESTABLISHING DEATH PROBATE COURT COUNTY OF OF ACCIDENT OR DISASTER VICTIM In the matter of , pesumed rdecedent1. Date of hearing: Judge: Bar no.THE COURT FINDS: 2. Notice of hearing was given to or waived by all interested persons. 3. An accident or disaster occurred on in which the following person was killed or may be presumed Date to have died: Name Social security number Date of birth Street address City State Zip 4. The accident or disaster occurred at .5. The above described person is dead. 6. The date of death is . Date 7. The time of death is at or about m. Time is not possible to ascertain. IT IS ORDERED the death of the presumed decedent is established in accordance with the above findings. Date Judge Do not write below this line - For court use only MCL 700.1207; MSA 27.11207,PC 550 (3/00) ORDER ESTABLISHING DEATH OF ACCIDENT OR DISASTER VICTIM MCL 700.1208; MSA 27.11208