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LEGALLY DOMICILED ADULT DESERTIFICATION FORM
PLEASE RETURN FORM TO MCC AT 510 SOUTH CAPITOL AVENUE, LANSING MI, 48933
5173722911 (FAX) OR EMAIL TO Benefit@CATHOLIC.ORG
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What is legally domiciled adult decertification?
Legally domiciled adult decertification is a process where an individual's legal residence and relationship to a dependent adult is revoked.
Who is required to file legally domiciled adult decertification?
Any individual who is no longer legally domiciled with the dependent adult.
How to fill out legally domiciled adult decertification?
The decertification form must be completed with accurate information about the changes in legal residence and relationship.
What is the purpose of legally domiciled adult decertification?
The purpose is to update legal records and ensure proper care and support for the dependent adult.
What information must be reported on legally domiciled adult decertification?
Information such as the new legal address, contact details, and relationship status must be reported.
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