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MI DHHS CWL-259 2018-2025 free printable template

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SPECIAL EVALUATION RECORD Michigan Department of Health and Human Services Division of Child Welfare Licensing and Adult Licensing By notice of the Child Protection Law, MCL 722.621, and the Child
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Gather all necessary personal information including your name, address, and contact details.
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Provide details about your household members, including their names, birthdates, and relationship to you.
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Who needs MI DHHS CWL-259?

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Individuals or families applying for assistance programs administered by the Michigan Department of Health and Human Services.
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Those seeking to report changes in income, household size, or other relevant information affecting their assistance eligibility.
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MI DHHS CWL-259 is a form used by the Michigan Department of Health and Human Services to collect information related to child welfare services.
Individuals or organizations that provide child welfare services and are required to report specific data to the Michigan Department of Health and Human Services must file MI DHHS CWL-259.
To fill out MI DHHS CWL-259, carefully follow the instructions provided with the form, ensuring that all required fields are completed accurately and submit it as directed by the Michigan Department of Health and Human Services.
The purpose of MI DHHS CWL-259 is to gather and report pertinent data regarding child welfare services to support the monitoring and improvement of these services in Michigan.
The information that must be reported on MI DHHS CWL-259 includes details regarding service provision, client demographics, outcomes, and any other relevant data requested by the Michigan Department of Health and Human Services.
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