Michigan Department of Health and Human Services Forms

This Form is used for requesting vacation time for employees working in Otsego County, Michigan.

This form is used for reporting changes in personal information to the Department of Homeland Security in Michigan.

This Form is used for clients seeking body art services in Michigan. It includes their personal information, consent for the procedure, and records of the body art performed.

This document is used to record information related to a divorce or annulment in the state of Michigan.

This form is used for reporting actual or suspected child abuse or neglect in Michigan.

This Form is used for reporting inspections of body art facilities in the state of Michigan. It provides a comprehensive checklist for inspectors to assess the facility's compliance with health and safety regulations.

Este formulario se utiliza para informar deducibles en el estado de Michigan.

This Form is used for providing a certification of translation or interpretation services for non-English speaking applicants or recipients in Michigan.

This form is used for collecting confidential medical background information for a surrendered newborn in the state of Michigan.

This Form is used for retroactively applying for Medicaid in the state of Michigan. It is used to request coverage for medical services that were received up to three months before the application date.

This form is used for declaring assets of a patient and their spouse in the state of Michigan.

This form is used for adults who were adopted in Michigan to request information from their former siblings.

This form is used for releasing information to an adult adoptee by their brother or sister acting as a proxy for a deceased parent in the state of Michigan.

This form is used for parents in Michigan to give consent or denial to release information to an adult adoptee.

This Form is used for adult adoptees in the state of Michigan to authorize the release of their personal information.

This form is used for adult adoptees in Michigan to request identifying information about their adoption.

This Form is used for logging personal care services provided by providers in Michigan. It helps ensure accurate record-keeping for tracking and reimbursing these services.

This document is used for investigating sudden and unexplained child deaths in the state of Michigan.

This form is used for filing a petition to request the return of a runaway juvenile who has crossed state lines under the Interstate Compact on Juveniles in Michigan.

This form is used for issuing a detention order in the state of Michigan.

This form is used for recommending and ensuring the certification of pre-adoption requirements in Michigan.

This document is used for obtaining a permit and agreement for out-of-state travel for juveniles under the Interstate Compact on Juveniles in the state of Michigan.

This form is used for making a request to the state of Michigan to return a juvenile escapee, absconder, or delinquent charged with a crime, as part of the Interstate Compact on Juveniles.

This form is used for obtaining consent from Michigan to voluntarily return out-of-state juveniles under the Interstate Compact for Juveniles.

This Form is used for requesting an investigation for parole or probation for juveniles in the state of Michigan under the Interstate Compact for Juveniles.

This form is used for reporting when a parolee or probationer in Michigan is being sent to another state under the Interstate Compact for Juveniles.

This form is used for applying for services and requesting a waiver under the Interstate Compact for Juveniles in Michigan.

This form is used for requesting interstate placement of a child under the Interstate Compact on the Placement of Children (ICPC) in Michigan.

This form is used for reporting the placement status of a child under the Interstate Compact on the Placement of Children (ICPC) in Michigan. It ensures that the child's placement is in compliance with the compact's requirements and helps to monitor the child's well-being across state lines.

This Form is used for creating a financial and medical plan for the Interstate Compact Placement of Children (ICPC) in Michigan. It helps in coordinating support and resources for children placed in out-of-state foster care.

This Form is used for reporting incidents, accidents, illnesses, deaths, or fires in the state of Michigan. It is an important document to ensure that all incidents are properly documented and reported for legal and safety purposes.

This form is used for certifying an irrevocable funeral contract in the state of Michigan. It ensures that the funeral arrangements made are legally binding and cannot be changed.

This form is used for reporting deductions for a Michigan insurance policy. It helps to determine the amount of deductible that can be applied to an insurance claim.

This form is used to request a hearing in the state of Michigan regarding a specific matter. It is typically submitted to the Michigan Department of Health and Human Services (DHS).

This Form is used for withdrawing a request for a hearing in the state of Michigan.

This form is used for establishing legal parentage in the state of Michigan. It is an affidavit that allows parents to affirm their status as the child's biological or adoptive parents.

This Form is used for applying for adult services in Michigan. It helps individuals access various programs and services for adults in need of assistance.