CSCL/CD-901 (Rev. 08/15)
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
CORPORATIONS, SECURITIES & COMMERCIAL LICENSING BUREAU
CORPORATIONS DIVISION
Telephone: (517) 241-6470
MICH-ELF APPLICATION
Fax completed form to: (517) 241-6445 (Do not submit any other documents with this form. Once your
account is built or updated, you will receive instructions by fax on where to submit your documents.)
Complete this form to participate in the MICH-ELF filing program or update your account.
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 ZIP CodeStreet Address City
LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with
disabilities.
Credit Card (Check One)
VISA MASTERCARD
Card Number
Expiration Date
Card Issued To
(Name of Person)
State ZIP CodeCardholders Billing Street Address City
Contact Person Phone Number
If any changes are being made to credit card information, please complete all information below.
