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CENTRAL REGISTRY CLEARANCE REQUEST Michigan Department of Health and Human Services Copy Photo ID Here or Attach a Separate Resection 1 INFORMATION ON PERSON BEING CLEARED Name, (First, Middle, Last)Signature
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How to fill out central registry clearance request

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How to fill out central registry clearance request

01
Step 1: Download the central registry clearance request form from the official website.
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Step 2: Fill in the required personal information such as name, address, contact details, and identification number.
03
Step 3: Provide details of your current and previous employment, including job titles, organization names, and dates of employment.
04
Step 4: Attach any necessary supporting documents, such as identification proof, employment records, or references.
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Step 5: Review the completed form and make sure all information is accurate and up-to-date.
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Step 6: Submit the filled-out form along with the supporting documents to the designated central registry clearance office.
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Step 7: Wait for the processing of your request and follow any additional instructions provided by the office.
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Step 8: Once your central registry clearance request is approved, collect the clearance certificate from the office.

Who needs central registry clearance request?

01
Individuals who require a central registry clearance request typically include:
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- Job applicants who need to demonstrate their eligibility and good standing for certain positions.
03
- Prospective foster parents or adoptive families.
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- Individuals applying for certain licenses, permits, or certifications.
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- Volunteers or employees working with vulnerable populations, such as children, elderly, or disabled individuals.
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- Individuals involved in specific professions, such as healthcare, education, social work, or law enforcement, where background checks are mandatory.
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It is recommended to check with the specific organization or authority requesting the clearance to determine if it is required in your particular case.
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