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Medical Clearance Request - Child Care Licensing

    https://www.michigan.gov/-/media/Project/Websites/lara/bchs/ocal/Folder1/lara_BCAL_3704cc_Medical_Clearance_Request_0615.pdf?rev=6a9291b9da9b414499e648cb7ca8f827
    MEDICAL CLEARANCE REQUEST – CHILD CARE LICENSING Michigan Department of Licensing and Regulatory Affairs Bureau of Community and Health Systems APPLICANT/LICENSEE INFORMATION Licensing Consultant (Name, Address, Phone) …

CCL-3704 Medical Clearance Request - Child Care …

    https://www.michigan.gov/lara/-/media/Project/Websites/lara/CCLB/Forms/Child-Care-Homes/CCL-3704_PDF.pdf?rev=b0b07805cfd44aaaad87df2cf89d0d59&hash=B1389E6E47872F89BC9461B7CD51A400
    MEDICAL CLEARANCE REQUEST – CHILD CARE LICENSING Michigan Department of Licensing and Regulatory Affairs Child Care Licensing Bureau APPLICANT/LICENSEE …

Child Care Licensing Forms - Michigan

    https://www.michigan.gov/lara/bureau-list/cclb/providers/forms
    Medical Clearance Request - CCL-3704 - PDF. Medical Clearance Request - CCL-3704 - Word. Child Information Record - CCL-3731 - PDF. Child Information Record - CCL-3731 …

Forms & Applications - Michigan

    https://www.michigan.gov/mdhhs/doing-business/forms
    The best way to apply for assistance is online using MI Bridges. If you need to use this paper application, keep in mind that you'll need to print and complete the application, and then …

Medical Clearance Request - BCAL-3704-C - FCNP

    https://www.fcnp.org/sites/default/files/inline-files/bcal-3704-medical-clearance-request-1.pdf
    Licensing Consultant (Name, Address, Phone) Department of Human Services Bureau of Children and Adult Licensing 201 North Washington Square P.O. Box 30650 Lansing, …

Licensing Record Clearance Request form (BCAL 1326A …

    https://www.michigan.gov/lara/bureau-list/bchs/adult/accordion/forms/licensing-record-clearance-request-form-bcal-1326a-fp-and-livescan-fingerprint-background-check-req
    Licensing Record Clearance Request form (BCAL 1326A - FP) and Livescan Fingerprint Background Check Request (RI-030). Livescan Fingerprints are required for an …

Central Registry Clearance Requests - Michigan

    https://www.michigan.gov/mdhhs/adult-child-serv/abuse-neglect/accordion/forms/central-registry-clearance-requests
    In-state child placing agencies child care organizations requesting a Central Registry clearance for purposes of employment/volunteer and/or placement, complete Children’s …

DHS-OCAL-3704, Medical Clearance Request - Gretchen's …

    http://gretchenshouse.com/wp-content/uploads/2009/11/MedicalClearanceRequest.pdf
    MEDICAL CLEARANCE REQUEST MEDICAL CLEARANCE REQUEST Michigan Department of Human Services Office of Children and Adult Licensing …

MI-SMART Psychiatric Medical Clearance – …

    https://mpcip.org/mpcip/mi-smart-psychiatric-medical-clearance/
    Michigan’s Medical Clearance Initiative is called MI-SMART! The current implementation workgroup includes clinicians from Emergency Medicine, Psychiatry, and …

Medical Waivers Information - Michigan

    https://www.michigan.gov/msp/divisions/cved/medical-waivers
    The Motor Carrier Safety Appeal Board was created by the Motor Carrier Safety Act, Public Act 181 of 1963, as amended, MCL 480.13. The purpose of the board is to hear …



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