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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
Name,
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How to fill out central registry clearance requests

How to fill out central registry clearance requests
01
Obtain the necessary forms from the appropriate government agency.
02
Fill out the forms completely and accurately, providing all required information.
03
Include any supporting documentation as required.
04
Submit the completed forms and any applicable fees to the designated office or online portal.
05
Wait for confirmation of receipt and processing of your request.
06
Follow up as needed to ensure timely processing and receipt of your central registry clearance.
Who needs central registry clearance requests?
01
Individuals seeking employment or volunteering opportunities that require a background check.
02
Organizations or agencies requesting background checks on potential employees or volunteers.
03
Certain professionals or service providers in fields such as healthcare, education, and childcare.
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What is central registry clearance requests?
Central registry clearance requests are requests made to check if an individual has a clean record with a central registry, typically for the purpose of employment or licensing.
Who is required to file central registry clearance requests?
Certain employers or licensing agencies may require individuals to file central registry clearance requests as part of their application process.
How to fill out central registry clearance requests?
Central registry clearance requests can usually be filled out online or through a paper form provided by the requesting organization.
What is the purpose of central registry clearance requests?
The purpose of central registry clearance requests is to ensure that individuals do not have a history of abuse, neglect, or criminal behavior that would make them unsuitable for certain roles or licenses.
What information must be reported on central registry clearance requests?
Central registry clearance requests typically require personal information such as name, date of birth, address, and sometimes fingerprints for background checks.
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