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DEMOGRAPHIC FORM Last Name First Name MI DOB SSN# Previous Name(s) Gender (circle) M / F / T Mailing Address City State Zip Physical Address City State Zip Home Phone Cell Phone Employer Work Phone
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01
To fill out mdhhs - legal name, follow these steps:
02
Start by obtaining the mdhhs - legal name form from the Michigan Department of Health and Human Services (MDHHS) website or their office.
03
Fill in your personal information such as your full legal name, date of birth, and social security number.
04
Provide any additional required information, such as previous legal name(s) or aliases.
05
If you have undergone a name change, include supporting documents such as a marriage certificate, divorce decree, or court order.
06
Make sure to review your filled-out form for accuracy and completeness.
07
Sign and date the form.
08
Submit the completed mdhhs - legal name form to the MDHHS office by mail or in person.
09
Keep a copy of the form for your records.

Who needs mdhhs - legal name?

01
Anyone who needs to update their legal name with the Michigan Department of Health and Human Services (MDHHS) should fill out the mdhhs - legal name form.
02
This may include individuals who have recently changed their name due to marriage, divorce, adoption, or any other legal reason.
03
It is important to update your legal name with MDHHS if you receive any benefits or services from them, as it ensures accurate records and avoids any potential issues or delays.
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MDHHS stands for the Michigan Department of Health and Human Services, which is the legal name of the state agency responsible for health services in Michigan.
Individuals and organizations that provide health and human services in Michigan are typically required to file MDHHS forms. This may include healthcare providers, social service organizations, and other entities operating within the state.
To fill out MDHHS forms, you should carefully read the instructions provided on the form, provide all requested information accurately, and ensure that you sign and date the form before submission.
The purpose of filing with MDHHS is to ensure compliance with state regulations governing the provision of health and human services.
Information typically required includes the legal entity name, address, identification numbers, service details, and health service records, but specific requirements may vary based on the form.
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