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  • Forms Applications - State of Michigan
    The Michigan Department of Health and Human Services offers several medical assistance programs Each program covers different groups of people and each program has different eligibility requirements
  • Forms and Publications - State of Michigan
    Please return the DHS-390, Adult Services Application, and DHS-54A, Medical Needs Form, to the MDHHS office in the county where the client lives To find the local MDHHS office address, please click here www michigan gov contactmdhhs
  • Forms and Publications - State of Michigan
    The Michigan Department of Health and Human Services' (MDHHS) Environmental Health Bureau (EHB) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards
  • Verification of Employment - State of Michigan
    In accordance with the provisions of 1939 P A 280 (MCL 400 60, 400 8 and 400 83), employers are required to provide the Michigan Department of Human Services with copies of certain papers, records, and documents relevant to an inquiry or investigation conducted by the Depar tment SECTION 1 - EMPLOYMENT INFORMATION (To Be Completed By Employer)
  • Central Registry Clearance Requests - State of Michigan
    Michigan residents who are requesting a central registry clearance on themselves must complete the Central Registry Clearance Request - DHS-1929 form Submit the completed DHS-1929 form, along with a copy of your legal photo ID, to your local MDHHS office Contact Details: MDHHS office in the county Spanish and Arabic DHS-1929 forms:
  • Foster Care Forms - State of Michigan
    For Forms Required for Interstate Compact, go to Interstate Compact Forms Foster Care Supportive Visitation DHS-599, Foster Care Supportive Visitation and In-Home Parent Education Referral
  • DHS-1514, Application for State Emergency Relief - State of Michigan
    You may fill out the voter registration application form in private If you believe that someone has interfered with your right to: register to vote, decline to register to vote, privacy in deciding whether to register or in applying to register to vote, or
  • Food Assistance - State of Michigan
    The Department of Health and Human Services can help you and your family with temporary assistance when times are tough Eligibility Everyone who lives together and purchases and prepares food together is considered a member of the same household group




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