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.
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.
Form Details:
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.