Form CSCL / LCE-992 Statement of Complaint - Michigan

Form CSCL / LCE-992 Statement of Complaint - Michigan

What Is Form CSCL/LCE-992?

This is a legal form that was released by the Michigan Department of Licensing and Regulatory Affairs - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of the CSCL/LCE-992 Statement of Complaint form?
A: The form is used to file a complaint with the Michigan Department of Licensing and Regulatory Affairs (LARA) regarding a licensed health professional.

Q: Who can file a complaint using the CSCL/LCE-992 form?
A: Any individual who has concerns or complaints about a licensed health professional in Michigan can file a complaint using this form.

Q: What information is required to complete the CSCL/LCE-992 form?
A: The form requires information such as your personal details, details about the health professional involved, a description of the complaint, and any supporting documents or evidence.

Q: What happens after I submit the CSCL/LCE-992 form?
A: Once your complaint is submitted, LARA will review the information provided and may conduct an investigation. You may be contacted for additional information or clarification if necessary.

Q: Can I file a complaint anonymously using the CSCL/LCE-992 form?
A: Yes, you can choose to file a complaint anonymously. However, providing your contact information can be helpful for LARA to gather further information during the investigation process.

ADVERTISEMENT

Form Details:

  • Released on November 1, 2019;
  • The latest edition provided by the Michigan Department of Licensing and Regulatory Affairs;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CSCL/LCE-992 by clicking the link below or browse more documents and templates provided by the Michigan Department of Licensing and Regulatory Affairs.

Download Form CSCL / LCE-992 Statement of Complaint - Michigan

4.4 of 5 (5 votes)
  • Form CSCL/LCE-992 Statement of Complaint - Michigan

    1

  • Form CSCL/LCE-992 Statement of Complaint - Michigan, Page 2

    2

  • Form CSCL/LCE-992 Statement of Complaint - Michigan, Page 3

    3

  • Form CSCL/LCE-992 Statement of Complaint - Michigan, Page 4

    4

  • Form CSCL / LCE-992 Statement of Complaint - Michigan, Page 1
  • Form CSCL / LCE-992 Statement of Complaint - Michigan, Page 2
  • Form CSCL / LCE-992 Statement of Complaint - Michigan, Page 3
  • Form CSCL / LCE-992 Statement of Complaint - Michigan, Page 4
Prev 1 2 3 4 Next
ADVERTISEMENT