child care verification form michigan

He or she will always be the child of his or her parents though.Again dependant upon where you live you are normally refered to as a child below 12 and a teenager during your teens but you do become an adult at the age of majority. endstream endobj startxref Use US Legal Forms to get your Michigan Child Care Verification fast and easy. Becoming a licensed child care facility requires a background check. endstream endobj 405 0 obj <>stream Begin a Michigan criminal history check by visiting The Michigan State Police (MSP)Internet Criminal History Access Tool (ICHAT) website. Both the parent and provider MUST sign and date the form on page 2. Each person who is put into the CCBC System must complete the Consent and Disclosure form, and provide all necessary information, forms, and fees necessary to complete the comprehensive background check. Sale, Contract Description. Ejemplos de facturacion: Ausecias de nios. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. HVnF}W({0`I@R (&QS;%Ejy!w3{%BboQlKgj 4Q\.]6QkW\]"\`>jx(+&K z% "'Qkx3:+\M)h@$l[3;xMh?&)L7{8<<8-xFS$VV;Cc]TU1:Iq`Vgow !'5On)$KI KZ(DI1jL-URn7W$Pz+. buss type w 30 amp fuse replacement; Books. This Child Care Verification form is used to notify the Court, as well as the opposing party, that child care is in place for the minor child or children. Universal caseload, or task-based processing, is a different way of handling public assistance cases. Pay in one of two suitable ways: by bank card or via PayPal. Get access to thousands of forms. P.O. Volunteer Certification for Field Trip Transportation CCL-5046 - Word, Playground Inspection Certification Summary CCL-5047 - PDF Tags: Child Care Verification, FD-FOC 4036, Michigan Local County, Wayne STATE OF MICHIGAN COUNTY OF WAYNE THIRD JUDICIAL CIRCUIT COURT FAMILY DIVISION CASE NO. This is an official form from the State of Michigan. MiChildSupport Public Calculator - The official child support calculator using the Michigan Child Support Formula State Court Administrative Office - Friend of the Court Bureau Contact Us 269-383-8837 Jury Services Family Division Friend of the Court 1-877-543-2660 Juvenile Home 269-385-8550 Michigan Child Abuse & Neglect Central Registry Database Check. Information on DHS Applications and Forms grouped by category. Any person who knowingly or willingly requests, obtains, or discloses any information under false pretenses concerning an applicant or participant may be subject to a misdemeanor and fined not more than $5,000. Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form. This Child Care Verification form is used to notify the Court, as well as the opposing party, that child care is in place for the minor child or children. Certificates for trainings completed outside of MiRegistry dated on or after January 1, 2022, will not count toward the 10 hours of training needed to meet the Level 2 requirement. This is a legal form that was released by the Michigan Circuit Court - a government authority operating within Michigan. Michigan State Police There are multiple instances where a person may be found ineligible to be a licensed child care provider. Details of CDC payment, including block payments, hourly payments, and other factors affecting payment. The form must be signed by one of the following: A physician (M.D. Dimondale, MI 48821 Apply to become a license exempt related or unrelated child care provider. Will, All STATE OF MICHIGANJUDICIAL CIRCUITCOUNTY Friend of the court address PlaintiffTo the Clerk: For FOC office Complete this form and sign on page 5. As soon as you are confident the sample is what you need, click on Buy Now. Q: What if I am found ineligible prior to fingerprinting? Legislation policy and planning information. for Deed, Promissory 7-18) child care employment verification form pa dhs child care forms visitation verification form ca Create this form in 5 minutes! You must complete and send this form to your MDHHS specialist via mail, fax or by using www.michigan.gov/mibridges. & Estates, Corporate - 517-322-2521. This Child Care Verification form is used to notify the Court, as well as the opposing party, that child care is in place for the minor child or children. Get several related forms for the price of one! Forms and applications listed here are only a portion of those available. Adult Member of Household (Family and Group), Volunteers with Unsupervised Access to children in care (Family, Group and Center), An individual who has unsupervised access to children who are cared for or supervised by a family child care home, group child care home, or child care center. iZ?E-#F$O~[y3G0@ s+4XkOp7&@RF!"pGltQ=6i:mCbVJ$MAmyOCmS];w(cZDi.Db_;-vf]zbql"|O. The Child Care Licensing Bureau issues licenses to Family Child Care Homes, Group Child Care Homes, and Child Care Centers. 12-22), MDHHS-5993, American Indian/Alaska Native (AI/AN) Tribal Affiliation Verification - Foster Home (Rev. Voting, Board A form for providers to keep time and attendance records when the child(ren) are in care. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Notes, Premarital Michigan has an innovative and comprehensive system of assessments to measure student achievement in learning our state content standards. FORM TITLE & DOWNLOAD LINK Things You Should Know About the 2017 Michigan Child Support Formula: Request to Set Support at Zero: Request for "Matching" Payment: FOC Case Questionnaire: Request to Discharge State Owned Debt: Child Care Verification Form: Request for Child Support Review: Objection to Child Support Review: Motion Regarding . Get several related forms for the price of one! Review the GSQ Conversion Charthere. Review Package. Custom Toll-Free Phones Number: 866-813-0011. Michigan Public Sex Offender Registry (PSOR). If you have questions about your fingerprint denial you may contact LARA for assistance at 844-765-2247. Templates, Name The applicant or the licensee pays for the background check. To view these instructional videos, you may use this helpfulstep-by-stepinstruction guideorfor Spanish gua de instrucciones paso a paso. ;*TdJ%2Gs^%K:g~p:O4)^l)8*!?+inL[%-- s6;=MiZA 8-18), TFC & ADO Contracts CPA Audit Workbook (Rev. Appeals or requests for correction to a MSP PSOR placement must be addressed with Michigan State Police. Planning, Wills Operating Agreements, Employment Real Estate, Last 235 South Grand Ave., Suite 510 publisher. Verificacion de Antecedentes de Cuidado Infantil del Estado de Michigan Consentimiento y Revalacion. Read description and preview the template. hb```f``V @VEv :;@"@H (X$iv wp(K*00nei``N4 hWyQp4#5 .N The CDC program pays higher reimbursement rates to licensed child care providers with a Reflecting on Quality Level or higher in Great Start to Quality. #d)nn+5i=@FOMI=WQ}R]%:Itsw/lBvKsrn`Ziu}2Yx&UGeJV$up*[d*/W =capU1\MVrFEqr|i,=>Yo)\_U Jlc9dj6W]^*Xa@&atGP&OM.o&6Mhcb}u3Kp_e>_>t.cO~^`G5j|~`P#Qi7K}hNGExp%v`{ 5 eIV6)KgYZm9O586&3DeB?>=gRP"!>=`\P \;;?1o P/L(y@p[0p [Lz:rDS. (Mzrw01nwj51D)%#uo'FFpMzn*v%~@D_0=2`G>_t 1;~ Lansing, Michigan 48909 MiKidsMatter is part of the Michigan Dept. Please note that some of the manuals also contain policies for other assistance programs, such as food, cash, and Medicaid. of Business, Corporate Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Forms Child Care Licensing Bureau forms are available on the website as PDFs and Word Documents. What Would Make Someone Ineligible to be Connected to a Licensed Child Care? The caseworker must follow-up with the youth to provide any needed assistance; see Verification of Eligibility in this policy. State(s) Child Abuse and Neglect Registry Check. Information on Michigan academic standards and instructional resources. The Child Development and Care Handbook has been updated as of March 30, 2023. Corporations, Securities & Commercial Licensing Bureau. three toddlers sitting at a table eating in a care setting as two providers kneel over them helping, To learn more about participating in Great Start to Quality visit, Early Childhood Development and Family Education, Educational Assessment and Accountability, Preschool and Out of School Time Learning, K-8 Grade Level Content Expectations for Health Education, MDE COVID-19 Online Instructional Resources, Michigan Merit Curriculum/Graduation Requirements, Section 32p/32p(4) Home Visitation Grants, MDE COVID-19 Early Childhood Information and Resources, Preschool Development Grant Birth through Five, Educator Conduct and Criminal Convictions, Early Middle College High School Opportunities, Child and Adult Care Food Program (CACFP), Alternatives to Suspensions and Expulsions Toolkit, School Safety and Mental Health Commission, Go to Out-of-School Time & Summer Learning, Early Warning Intervention and Monitoring System (EWIMS), Resources for Schools Identified for CSI, ATS, or TSI, Early Literacy and Mathematics Benchmark Assessments (K-2), Michigan Student Test of Educational Progress (M-STEP), National Assessment of Educational Progress, WIDA Assessments (K-12 ELP Assessments and Screener), Go to MDE COVID-19 Education Information and Resources, Go to Michigan's Top 10 Strategic Education Plan, Michigan's Top 10 Strategic Education Plan Tool Kit, Go to Title IX of the Education Amendments of 1972, Great Start to Quality - Find High Quality Child Care in Michigan. Regardless of the type, all licensed child care providers must read the licensing rules, which can be found on the Rules and Statutes page and1973 PA 116,before submitting an application. Information about the health care programs available through Medicaid and how to qualify. Will, All Note the star ratings for each facility. Understand the process and whatindividuals can do in the event of a denial due to fingerprinting. License exemptChild Care Providers are adults, age 18 or older, who are enrolled to provide child care for up tosix children at a time. A: If you wish to be licensed as a child care center, group child care home orfamily child care home, call the Child Care Licensing Bureau (CCLB) toll free at 1-866-685-0006 or visit: www.michigan.gov/michildcare. Liens, Real Email: Visit ICHAT and click on "Contact Us" in the top menu bar. HVYoH~Acvzkc}Hc)RGI$G%;0 #7:XWe {{^,o.F;:pb#cA20&*`~/ar ggV?NM!, xXQ PaH%@i<105HZ3$h-%P626QZ%S_hqJ~`A/=8q4b##f Q{X7bQ=> `%U$ Approved, SCAOForm FOC 39, Rev. of Attorney, Personal Incident Report CCL-4605 - Word, Parent Notification of the Licensing Notebook CCL-5053 PDF, Parent Notification of the Licensing Notebook CCL-5053 - Word, Multiple Occupancy Documentation for Child Care Centers CCL- 2118 PDF, Multiple Occupancy Documentation for Child Care Centers CCL- 2118 Word, Ownership Interest Disclosure CCL-2119 PDF, Ownership Interest Disclosure CCL-2119 Word. Every learner in Michigans public schools will have an inspiring, engaging, and caring learning environment that fosters creative and critical thinkers who believe in their ability to positively influence Michigan and the world beyond. packages, Easy Ongoing Health and Safety Training for 2023. 1-866-990-3227, Preventing Suspension and Expulsion in Early Education, Great Start Collaboratives and Parent Coalitions, https://dev.michigan.local/som/json?sc_device=json. All information is provided in good faith, however, we make no representation or warranty of any kind regarding its accuracy, validity, reliability, or completeness. To babyproof your home? (S or C-Corps), Articles 'Z"i/%'n[jI8,2 KeR])U7 Hty3B !NxEG}])wT$]&m(}Yxo_7;[;HAl_s*7MZ~46< Qp'N:';4X|[owloi0d#y(47oxknqrozd$L8Wq_^/D/~"46ks\Y Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. A: If you are currently a licensed provider and wish to accept a CDC subsidy-eligible child (ren) into your program, you and the parent will need to complete the DHS-4025, Provider Verification form, selecting you as their provider. The department will mail instructions to the applicant related to any additional forms and fees that must be submitted. 6. Agreements, Letter Forms 10/10, Features Set 10/10, Ease of Use 10/10, Customer Service 10/10. PARENT INFORMATION Complete the top portion of this form and have your child-care provider complete the remainder. Certification of School Building Fire Safety Provisions CCL-5043 - Word, Self-Certification of Transportation Provisions for Centers CCL-5044 - PDF & Resolutions, Corporate Divorce, Separation 7150 Harris Drive Information on Safe Sleep for your baby, how to protect your baby's life. But it took a legal challenge and a national campaign to ensure that 17-year-olds were given the same rights as other children in the police station. Information about audits conducted by the Office of Audit. You may find approved Level 2 trainings at MiRegistry Statewide Training Calendar. Fax: 517-763-0280, Website: MDHHS - Central Registry Clearance Requests, Forms: Central Registry Clearance Request - DHS-1929. Children's Protective Services Program Once your reusable form is downloaded, print it out or save it to your device. Amendments, Corporate hbbd``b` $ w!`;3GD t uH2@ !P$`\NQZ %@b&FFy,#%/ m A step-by-step guide to registering to be a license exemptprovider for CDC. When the department obtains funding, the department provides licensees with coupons to cover the cost of fingerprinting. A: The fingerprint background check costs $65.25. Contact: than the USlegal brand. See the CDC Handbookfor more Level 2 training requirements and information. State(s) Criminal History Check for any Non-National Fingerprint File (NFF) State. All staff that have contact with children will also have to complete a comprehensive background check. Desarrollo y Cuidado Infantil registro de proveedor sin licencia. The steps of the processareoutlined in the the Child Care Background Check Process document. Voluntary Foster Care Verification of Eligibility form. Have any form from 85,000 legal documents such as Michigan Child Care Verification on-line with US Legal Forms. (MUST BE PROVIDED) CHILD CARE VERIFICATION FORM (SSN IF CASE NO. Change, Waiver Incorporation services, Living The latest edition provided by the Michigan Circuit Court; Compatible with most PDF-viewing applications. Explore our resources & guides for Michigan parents. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. 5. Solicitud de Proveedor Exento de Licencia para Desarrollo y Cuidado Infantil (CDC). Information on prenatal health and preparing for your baby's arrival. License Exempt Related and License Exempt-Unrelated subsidy providers have the option to complete 10 hours of approved training per year to receive a higher hourly rate. e842, Child Support Response Form If you are not receiving public assistance, complete this form to provide additional information to your caseworker. of Incorporation, Shareholders The parentwill submit the form to MDHHS. services, For Small All fingerprinting must be scheduled and processed through the Child Care Background Check System using the State approved fingerprinting vendor, Idemia. Sales, Landlord A response will be sent within tenworking days. To submit billing for a child receiving Child Development and Care (CDC) assistance, go to the I-billing login page. USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. Michigan State Police (MSP) fingerprint-based check of criminal history. Agreements, Corporate Forms, Real Estate Get information on education, development milestones, toddler safety, and more from MiKidsMatter. (S or C-Corps), Articles Liens, Real Child Care Verification. Lansing, MI 48933 Child Care Staff (Family, Group and Center), including a contract employee or a self-employed individual. 8-18), PAFC & ADO Contracts CPA Audit Workbook (Rev. provider in care center at table with three preschoolers playing with blocks, Go to Finding Quality Child Care and Preschool, Go to Preventing Suspension and Expulsion in Early Education, Go to Great Start Collaboratives and Parent Coalitions, Child Care Licensing and Application Renewal page, Child Care Background Check Process document, Internet Criminal History Access Tool (ICHAT) website, Michigan's Public Sex Offender Registry (PSOR), Central Registry Clearance Request - DHS-1929 (Word doc), MDHHS - Central Registry Clearance Requests, Central Registry Clearance Request - DHS-1929. CHILD DEVELOPMENT AND CARE PROVIDER VERIFICATION INSTRUCTIONS: Due Date: Complete the form below. License Exempt ProviderFBI Fingerprint Process. Select a subscription plan that really works for your budget. Specials, Start Complete the top portion of this form and have your child-care provider complete the remainder. 833-633-5788, MDE COVID-19 Education Information and Resources, Michigan's Top 10 Strategic Education Plan, Title IX of the Education Amendments of 1972, https://dev.michigan.local/som/json?sc_device=json. A: If you are found ineligible to be a license exempt provider, you will be notified by the Child Care Background Check unit within the Department of Licensing and Regulatory Affairs (LARA). Pick a format to download the document in; two options are available (PDF or Word). Lista de verificacin de proveedor exentos de licencia (sin licencia). Center, Small Return the completed form to your specialist in the local DHS office. When you need a legal form, don't accept anything less Other Out-of-State Entities must complete a Central Registry Clearance Request - DHS-1929 (Word doc)form and send bymail or fax. You will need to know: A: Payments are based on the parent's eligibility and the child's attendance. Estates, Forms CDC limits on provider billing per pay period. A: If you are found ineligible to be a license exempt provider before your fingerprint and background check is complete, you will receive a letter from the Child Development and Care office explaining the reason for the denial. multiple forms to execute. Documents and information about the health and safety coaching visitsfor license exempt - unrelated child care providers. If you have child care expenses you must attach the "Child Care Verification" form. The notice will include the reason for your ineligibility. Operating Agreements, Employment Technology, Power of Of the $64.25 charged, the following is received by these agencies: If a person has lived outside of Michigan within the past 5 years, additional out of state background checks are required. Please call 866-990-3227 for questions. Resources for educator certification, recognition programs, evaluation, and workforce research. A-Z, Form A: To be paid, you must submit billing information to the Department using I-Billing (Internet Billing). Resources and information to assist in assuring firearm safety for families in the state of Michigan. 3-21), DHS-384, Native American Outreach Services Packet Cover (Rev. Information on the Children's Foster Care program and becoming a Foster Parent. TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". Review of the department's database for previous disciplinary action. Who is required to have a Child Care Background Check? Q: As a licensed provider, how do I accept CDC subsidy-eligible children? According to the U.S. government, a child officially becomes an adult when they turn 18.That's not to say that kids in their late teens and early 20s can't take on these tasks, but it does mean that it's harder for them to do at least until around age 25 or so when this area of the brain fully develops. The department does not charge for the processing of child care fingerprints. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. USLegal received the following as compared to 9 other form sites. Contact these agencies to start a background check. If you have someone such as an adult household member who is unable to leave the home, please contact your licensing consultant to request someone to come into the home to fingerprint them. The Michigan Department of Health and Human Services' (MDHHS) Division of Environmental Health (DEH) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards. for Deed, Promissory Business Packages, Construction Licensed providers must report according to the rules set by LARA. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. (cH5zn h6JX`qqHS\r` 0 License exemptproviders can provide care in their own home or the child's home if they are related by blood, marriage or adoption as a: License exemptChild Care Providers who are not related to the child can only provide care in the child's home. All training on the MiRegistry training calendar, including the. Box 30037 Service, Contact Upgrade and Save: This form is part of a package. Who Pays for the Child Care Background Check? The web Browser you are currently using is unsupported, and some features of this site may not work as intended. H\j0EY& [>JB>+%1B$=y@~P0=&KX 89/jtS7B2oKcMK v/6,dx} Registro Diario de Horas y Asistenciade Cuidado Infantil. No. of Attorney, Personal Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. This is a legal form that was released by the Michigan Circuit Court - a government authority operating within Michigan. Phone: 517-335-3704 The application can be completed online or printed off. Information about injury and violence prevention programs in Michigan. View new health and safety requirements, including background checks, annual visits,and trainingfor eachchild care provider type. Amendments, Corporate Make any changes needed: insert text and pictures to your Child Care Verification - Michigan, underline important details, erase parts of content and substitute them with new ones, and insert icons, checkmarks, and fields for filling out. For License, Permit, Special License, and License Renewal Questions: [email protected] For Enforcement Challenges: Agreements, Bill of Michigan Department of Health and Human Services After reviewing the letter, if you have questions, you may contact 866-990-3227 for assistance. Beginning January 1, 2022, all Level 2 training must be taken through MiRegistry. Use professional pre-built templates to fill in and sign documents online faster. of Incorporation, Shareholders LARA is dedicated to bridging the gap between civilian and military employment and helping veterans gain and retain employment. Records, Annual 7150 Harris Drive Contact: The Word documents are fillable and are intended for electronic completion. Dimondale, MI 48821 Estates, Forms To see if you qualify for payment assistance, check out the Parent section of our website for details. Attorney, Terms of of Education. Planning Pack, Home Records, Annual 399 0 obj <> endobj Child Development and Care ProviderVideo #2: Child Development and Care ProviderVideo #3: Child Development and Care ProviderVideo #4: Child Development and Care ProviderVideo #5: Child Development and Care ProviderVideo #6: Child Development and Care ProviderVideo #7. General Provisions - BCAL-1888, Child Care Center Compliance Record, Part 2. dhs child care forms michigan dhs-4025 (rev. This is an official form from the State of Michigan. Staffing Plan: Child Care Center CCL-5001 - Word 6/22Page 1 of 5 YOUR INCOME, MEDICAL, EDUCATIONAL, AND HEALTH INSURANCE INFORMATION (continued) 48. Low-income Households Water Assistance Program (LIHWAP). of Sale, Contract Go to the License ExemptProvider Application to begin the process. FOC 39e (3/09) CHILD-CARE VERIFICATION. Adult & Children's Services collapsed link, Safety & Injury Prevention collapsed link, Emergency Relief: Home, Utilities & Burial, Adult Behavioral Health & Developmental Disability, https://dev.michigan.local/som/json?sc_device=json, Bureau of Hospitals and Behavioral Health Administration, Licensing - Adult Foster Care and Homes for the Aged, Native American Affairs (NAA) and Native American Outreach Services (NAOS), Behavioral and Physical Health and Aging Services Administration, Immunization Info for Families & Providers, Michigan Maternal Mortality Surveillance Program, Informed Consent for Abortion for Patients, Informed Consent for Abortion for Providers, Go to Child Welfare Medical and Behavioral Health Resources, Go to Children's Special Health Care Services, General Information For Families About CSHCS, Go to Emergency Relief: Home, Utilities & Burial, Supplemental Nutrition Assistance Program Education, Go to Low-income Households Water Assistance Program (LIHWAP), Go to Children's & Adult Protective Services, Go to Children's Trust Fund - Abuse Prevention, Bureau of Emergency Preparedness, EMS, and Systems of Care, Division of Emergency Preparedness & Response, Infant Safe Sleep for EMS Agencies and Fire Departments, Go to Adult Behavioral Health & Developmental Disability, Behavioral Health Information Sharing & Privacy, Integrated Treatment for Co-occurring Disorders, Cardiovascular Health, Nutrition & Physical Activity, Office of Equity and Minority Health (OEMH), Communicable Disease Information and Resources, Mother Infant Health & Equity Improvement Plan (MIHEIP), Michigan Perinatal Quality Collaborative (MI PQC), Mother Infant Health & Equity Collaborative (MIHEC) Meetings, Go to Birth, Death, Marriage and Divorce Records, Child Lead Exposure Elimination Commission, Coronavirus Task Force on Racial Disparities, Michigan Commission on Services to the Aging, Nursing Home Workforce Stabilization Council, Guy Thompson Parent Advisory Council (GTPAC), Strengthening Our Focus on Children & Families, Supports for Working with Youth Who Identify as LGBTQ, Go to Contractor and Subrecipient Resources, Civil Monetary Penalty (CMP) Grant Program, Nurse Aide Training and Testing Reimbursement Forms and Instructions, MI Kids Now Student Loan Repayment Program, Michigan Opioid Treatment Access Loan Repayment Program, MI Interagency Migrant Services Committee, Go to Protect MiFamily -Title IV-E Waiver, Students in Energy Efficiency-Related Field, Go to Community & Volunteer Opportunities, Go to Reports & Statistics - Health Services, Other Chronic Disease & Injury Control Data, Nondiscrimination Statement (No discriminacion), 2022-2024 Social Determinants of Health Strategy, Go to Reports & Statistics - Human Services, Nondiscrimination Statement(Declaracin de No discriminacin), apply for assistance is online using MI Bridges, DHS-1929, Central Registry Clearance Request, DHS-1929-SP, Central Registry Clearance Request, DHS-355, Participation Agreement For Michigan's Low Income Home Energy Assistance Program, DHS-1514, Application for State Emergency Relief, DHS-1514-SP, Application for State Emergency Relief, DHS-1661, Insurance Assistance Program (IAP), DHS-3243, Retroactive Medicaid Application, DHS-3243-SP, Solicitud Para Medicaid Retroactivo, DHS-4574-B, Asset Declaration Patient and Spouse, DHS-4574, Medicaid Application Patient of Nursing Home, DHS-4574-B-SP, Declaration De Bienes Paciente Y Esposo/A, NSP-0938-B, Voter Registration Application and Michigan Driver License/Personal Identification Card Address Change Form, NSP-0938-B-SP, Solicitud de Registracin del Votante y Licencia de Manejar de Michigan/Instrucciones de la Forma para Cambiar su Direccin en su Tarjeta de Identificacin Personal, DHS-1341-A, Request for Medical Subsidy for An Adopted Child, DHS-1917, Adult Former Sibling Statement to Release Information to Adult Adoptee, DHS-1918, Release of Information to Adult Adoptee by Brother/Sister as proxy for Deceased Parent, DHS-1919, Parent's Consent/Denial to Release Information to Adult Adoptee, DHS-1920, Release of Information Authorization Adult Adoptee, DHS-1925, Request by Adult Adoptee for Identifying Information, DHS-4746, Adoption Facilitator Clearing House Record, MDHHS-5996, Legal Packet Supplemental-Adoption Assistance Verification, MDHHS-5754, Service Animal Exclusion Assessment, MDHHS-5755, Service Animal Arrival Checklist, DHS-1356, Home Help Payment Schedule 2023, DHS-3243-SP, Solicitud Para Medicaid Retoactivo, DHS-4575-B-SP, Declaration De Bienes Paciente Y Esposo/A, DCH-0738, Notice of Intent to Claim Paternity Form, DHS-1201, IV-D Child Support Services Application/Referral, DHS-1454, Office of Child Support Publication Order List, DHS-1201-SP, Solicitud Para Servicios de Sostenimento de Ninos (IV-D)/Recomendacion, DHS-990, Relative Notification Letter (Rev.

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