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MI DHS-1929 2012 free printable template

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CENTRAL REGISTRY CLEARANCE REQUEST Michigan Department of Human Services The confidentiality of central registry information is protected by Sections 7 through 7j of the Michigan Child Protection
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MI DHS-1929 Form Versions

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How to fill out MI DHS-1929

01
Obtain the MI DHS-1929 form from the Michigan Department of Health and Human Services website or local office.
02
Read the instructions provided at the top of the form carefully.
03
Fill out your personal information in the designated sections, including name, address, and date of birth.
04
Provide information regarding your income and household expenses as requested on the form.
05
Indicate the type of assistance you are applying for by checking the appropriate boxes.
06
If applicable, list any additional family members who are part of the household and their information.
07
Review all the information for accuracy before submission.
08
Sign and date the form at the bottom to certify that the information provided is true and complete.
09
Submit the completed form to your local MI DHS office either in person or by mail.

Who needs MI DHS-1929?

01
Individuals or families in Michigan seeking assistance with food, housing, or healthcare.
02
Residents who are applying for public assistance programs such as Medicaid or food assistance benefits.
03
Anyone who needs to update their information with the Michigan Department of Health and Human Services.
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People Also Ask about

A petition for removal from the registry must be filed in the family court in the county in which the substantiation occurred. A copy of the petition must be served on the Division of Family Services. The division may file an objection or answer to the petition within 30 days after being served.
Contact Your Local Office or MDHHS Customer Service You can also try calling the main MDHHS phone line at (517) 241-3740. If you are using the MI Bridges website to apply for or manage benefits, you can try calling the MI Bridges help desk at (844) 799-9876.
A Clearance Letter can be requested when a Michigan resident licensee has moved to another state and is applying for licensure in the new home state. Most states rely on verification of an applicant's previous resident license through the NAIC Producer Licensing Database in lieu of a Clearance Letter.
A petition for removal from the registry must be filed in the family court in the county in which the substantiation occurred. A copy of the petition must be served on the Division of Family Services. The division may file an objection or answer to the petition within 30 days after being served.
A Tax Clearance Certificate for Sale of Business and/or Business Assets is granted after Treasury determines that all Sales, Use, Income Withholding, Cigarette, Motor Fuel, Single Business, Michigan Business, and Corporate Income taxes have been paid for the period of operation.
A petition for removal from the registry must be filed in the family court in the county in which the substantiation occurred. A copy of the petition must be served on the Division of Family Services. The division may file an objection or answer to the petition within 30 days after being served.
The Central Registry cannot be publicly searched. It can be viewed only by certain employers, agencies, state officials, and individuals to whom MDHHS has given permission.
A petition for removal from the registry must be filed in the family court in the county in which the substantiation occurred. A copy of the petition must be served on the Division of Family Services. The division may file an objection or answer to the petition within 30 days after being served.
Access to CPS Records Both parents have the right to see everything in a CPS file except the name of the person who made the complaint about abuse and neglect. You must ask for the records in writing at your local MDHHS office.
General Contact Information 517-335-8448 (phone) 517-335-8835 (fax) 1-800-942-1636 (toll-free) 517-335-8951 (voc)

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MI DHS-1929 is a form used by the Michigan Department of Health and Human Services for reporting specific information related to health services and programs.
Providers of health services in Michigan who are participating in state Medicaid programs, as well as other designated entities, are required to file MI DHS-1929.
To fill out MI DHS-1929, individuals should follow the provided instructions on the form, ensuring that all the required information is accurately completed and submitted by the indicated deadline.
The purpose of MI DHS-1929 is to collect data necessary for compliance, auditing, and analysis of health service programs in Michigan.
MI DHS-1929 requires the reporting of information such as service details, provider identification, patient demographics, and billing data.
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