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DHS1929, CENTRAL REGISTRY CLEARANCE REQUEST Michigan Department of Health and Human Services (Revised 1122a)COPY PHOTO ID HERE OR ATTACH A SEPARATE RESECTION 1 INFORMATION ON PERSON BEING CLEARED

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How to fill out central registry clearance request

01

Fill out the central registry clearance form completely and accurately with all necessary information.

02

Provide any required supporting documentation, such as identification or background check results.

03

Submit the completed form and documentation to the appropriate agency or department for review.

Who needs central registry clearance request?

01

Individuals applying for certain jobs or volunteer positions that involve working with children or vulnerable populations.

02

Employers or organizations required by law to conduct background checks on employees or volunteers.

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What is central registry clearance request?

The central registry clearance request is a formal document submitted to check for any criminal record or history of abuse or neglect in relation to working with vulnerable populations.

Who is required to file central registry clearance request?

Individuals working with vulnerable populations such as children, elderly, or individuals with disabilities are required to file central registry clearance request.

How to fill out central registry clearance request?

To fill out central registry clearance request, one must provide personal information, employment history, and consent for a background check.

What is the purpose of central registry clearance request?

The purpose of central registry clearance request is to ensure the safety and well-being of vulnerable populations by screening individuals who work with them.

What information must be reported on central registry clearance request?

The information reported on central registry clearance request includes personal details, employment history, criminal record check, and any history of abuse or neglect.

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