Michigan department of human services
Request to Protect Information - Jackson County, Michigan
The Michigan Department of Health and Human Services (MDHHS) does not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, genetic information, sex, sexual orientation, gender identity or expression, political beliefs or disability.
[DOT File]Access to Records Request - MI Health
https://info.5y1.org/michigan-department-of-human-services_1_489afc.html
The Michigan Department of Health and Human Services (MDHHS) does not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, genetic information, sex, sexual orientation, gender identity or expression, political beliefs or disability.
[DOT File]Authorization to Release Confidential Information - Michigan
https://info.5y1.org/michigan-department-of-human-services_1_c8596f.html
The Michigan Department of Health and Human Services (MDHHS) does not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, genetic information, sex, sexual orientation, gender identity or expression, political beliefs or disability.
[DOCX File]Request for Food Stamp Authorized Representative
https://info.5y1.org/michigan-department-of-human-services_1_f3ea34.html
The Michigan Department of Health and Human Services (MDHHS) does not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, genetic information, sex, sexual orientation, gender identity or expression, political beliefs or disability.
[DOT File]Initial Relative Safety Screen - Michigan
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INITIAL RELATIVE SAFETY SCREEN Michigan Department of Health and Human Services Caseworker Name Caseworker Phone MDHHS County or PAFC Name Date of Home Visit Child(ren) Names DOB Legal Relationship to Prospective Caregiver Person ID DEMOGRAPHICS Caregiver(s) Name Maiden Name, Aliases, AKA (if applicable) DOB Date of Central Registry Request Date of …
[DOC File]Ismael Ahmed Director, Department of Human Services
https://info.5y1.org/michigan-department-of-human-services_1_5cdbbb.html
The Michigan Department of Natural Resources is committed to the conservation, protection, management, use and enjoyment of the state's natural and cultural resources for current and future generations. > Human Services The Department of Human Services directs the operations of public assistance and service programs, through county family ...
[DOT File]Children's Foster Care Relative Placement Home ... - Michigan
https://info.5y1.org/michigan-department-of-human-services_1_ef2f1c.html
Director Signature Agency Title Date The Michigan Department of Health and Human Services (MDHHS) does not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, genetic information, sex, sexual orientation, gender identity or expression, political beliefs or disability.
[DOC File]DHS-3200, Report of Actual or Suspected Child Abuse or …
https://info.5y1.org/michigan-department-of-human-services_1_92101d.html
REPORT OF ACTUAL OR SUSPECTED CHILD ABUSE OR NEGLECT Michigan Department of Human Services Was complaint phoned to DHS? Yes No ( If yes, Log # ( If no, contact Centralized Intake (855-444-3911) immediately INSTRUCTIONS: REPORTING PERSON: Complete items 1-19 (20-28 should be completed by medical personnel, if applicable). Send to Centralized Intake at the …
[DOT File]Central Registry Clearance Request - DHS-1929 - Michigan
https://info.5y1.org/michigan-department-of-human-services_1_0dcc00.html
Submit your request to Michigan Department of Health and Human Services fax 517-763-0280. Agencies, schools, preschool. daycare providers, employers and volunteer agencies outside of Michigan For out of state agencies, the person being cleared completes section one, signs the form and adds a copy of their state picture identification (driver's ...
[DOC File]Request to Discharge State-Owed Debt
https://info.5y1.org/michigan-department-of-human-services_1_5ada97.html
Signature Print Name Date The Michigan Department of Health and Human Services (MDHHS) does not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, genetic information, sex, sexual orientation, gender identity or expression, political beliefs or disability.
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