Your Name: (required) Third-party requests for transcripts and verifications of graduation must be printed on business or institutional letterhead with an appropriate signed authorization and release from the former student. Only records that are readily producible in electronic format will be sent electronically. * 7% 7% 7% 7% 7% 3 3 1( 7% 7% 7% j4 7% 7% 7% 7% 89 7% 7% 7% 7% 7% 7% 7% 7% 7% > : ACCESS TO RECORDS REQUESTMichigan Department of Health and Human ServicesThis records request form concerns records maintained by Medicaid, other medical assistance programs, state facilities, and any other component of MDHHS that is subject to the HIPAA Privacy Regulations.Consider the following when requesting access to your records:You may ask to review and/or obtain information about yourself from records that the Michigan Department of Health and Human Services (MDHHS) maintains. Record Requests | Cass County, MI Legislation policy and planning information. This site is protected by reCAPTCHA and the GooglePrivacy PolicyandTerms of Serviceapply. Information on communicable & chronic diseases. Please turn on JavaScript and try again. If the Michigan Department of Human Services (or CPS) refuses your request for amendment or expungement, or fails to act within 30 days of your request, they must hold an administrative hearing regarding the proposed amendment or expungement. Transcripts are the official and complete record of a student's academic achievements. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. Clearance requests are limited to certain employers, agencies, state officials, and individuals withappropriate authorization, signature, and identification. of suspected child abuse or neglect pursuant to county designation. Information on the grant awarded for the State Innovation Model Proposal, Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan. ; It looks like your browser does not have JavaScript enabled. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Most states have laws authorizing a statewide central registry, which is a centralized listing of child maltreatment records. F o r n e w b o r n s c r e e n i n g r e s u l t s , p r o v i d e t h e m o t h e r s n a m e a t t h e t i m e o f b i r t h ) F O R M T E X T F O R M T E X T Y o u m a y r e q u e s t t h a t r e c o r d s b e s e n t t o y o u ( o r y o u r d e s i g n e e ) b y e m a i l , f a x , o r U . Instructions for requestingChild Protective Services records. & W v " # H g wk hGQ hGQ \^J aJ hGQ \^J aJ hN~ hGQ 5\^J aJ hGQ hGQ OJ QJ ^J hGQ OJ QJ ^J hN~ hGQ OJ QJ ^J hGQ hGQ h1 hGQ 5\^J h- hGQ 5\^J h1 hGQ For more information about transcripts and other permanent student records, email Former Student Records at fsrecordsco@cps.edu. Licensing information for Adult Foster Care and Homes for the Aged, Child Day Care Facilities, Child Caring Institutions, Children's Foster Care Homes, Child Placing Agencies, Juvenile Court Operated Facilities and Children's or Adult Foster Care Camps. Please contact the DCS Records Coordinator at 602-364-4319 or DCSRecordsRequest@azdcs . You must submit your request in writing to your local DHHSoffice. records released to me or information relating to their contents, other than as provided by law. Please be advised that incomplete or inaccurate information may delay the processing of your request. 1 (866) 766-5245 | Email Us. Children's Protective Services Investigation Process - Michigan Your Email: (required) This means they remove your name and the evidence against you from the Central Registry, if they find that it is in the best interest of the child to do so. You may also visit VitalCheck to order a birth, death or marriage record online. If you disagree with the MDHHS decision to list your name on the Central Registry, write a letter to the MDHHS director in the county where the investigation occurred. Birth, Death, Marriage and Divorce Records. PDF State-by-State Contact Information for Obtaining a Central or Child You will not be penalized for filing a complaint.Privacy complaints may be directed to either of the following: Michigan Department of Health and Human Services PHCS Legal Division, Bureau of Legal Affairs 333 South Grand Avenue Lansing, MI 48933 Phone: 517-284-4844 or 517-284-4849 Fax: 517-241-1200 K L M O \ ] [WIC 827(a)(1)(H) & PC 11 165.9] 3. All subpoenas for CPS investigative reports, CPS updated service plans, CPS closing reports, or CPS documents must be sent to the Redaction Unit using the following procedure: Send the subpoena for a CPS record to the Redaction Unit at Access to CPS Information - Michigan To obtain a certified copy of a birth record, the applicant must be: The applicant must also show proper identification at the time of the request, such as a driver's license, passport or state ID. Complete the CPS Records Request Form below and fill it out with as much information as possible. 60632, 1988 and prior: 5-7 business days from the time we receive your request Allow extra time to receive via US mail, Chicago Public SchoolsFormer Student Records 1988 and Prior 3532 W. 47th Place, 1st FloorChicago, IL. Contact a Michigan Child Protective Services Defense Attorney 856 0 obj <>stream If MDHHS denies the request, you may request an administrative hearing. However, there are a few people who do have access to the Michigan CPS Central Registry. action. * 7% R T" T" q3 ? Information on the Food Assistance Program, eligibility requirements, and other food resources. 0 endstream endobj startxref The Michigan Department of Health and Human Services' (MDHHS) Division of Environmental Health (DEH) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards. Requests must include a minimum of the following information: Third parties must mail their authorized request with a $15 company current check or money order (per request) made payable to Chicago Public Schools or via e-pay below. Resources and information to assist in assuring firearm safety for families in the state of Michigan. 1. If your request and appeal were denied and the abuse or neglect falls under CPS Categories I or II, your name will stay on the Central Registry for ten years. the individuals conviction of the offense that caused the individual to be placed on the central registry has been expunged. PDF COURT INTERVENTION AND PLACEMENT OF CHILDREN - Michigan Department of Adult Behavioral Health & Developmental Disability Services. To become registered, Maine will provide the necessary form. You can also view the CPS Process Flow Chart to learn more about what could happen next in your case. Upon the departments review of aclearance request, the following will occur: For more information, or to submit a Central Registry Clearance Request, visit: Central Registry Clearance Requests (michigan.gov), Adult & Children's Services collapsed link, Safety & Injury Prevention collapsed link, Emergency Relief: Home, Utilities & Burial, Adult Behavioral Health & Developmental Disability, https://dev.michigan.local/som/json?sc_device=json, Behavioral and Physical Health and Aging Services Administration, Immunization Info for Families & Providers, Michigan Maternal Mortality Surveillance Program, Informed Consent for Abortion for Patients, Informed Consent for Abortion for Providers, Go to Child Welfare Medical and Behavioral Health Resources, Go to Children's Special Health Care Services, General Information For Families About CSHCS, Go to Emergency Relief: Home, Utilities & Burial, Supplemental Nutrition Assistance Program Education, Go to Low-income Households Water Assistance Program (LIHWAP), Go to Children's & Adult Protective Services, Go to Children's Trust Fund - Abuse Prevention, Bureau of Emergency Preparedness, EMS, and Systems of Care, Division of Emergency Preparedness & Response, Infant Safe Sleep for EMS Agencies and Fire Departments, Go to Adult Behavioral Health & Developmental Disability, Behavioral Health Information Sharing & Privacy, Integrated Treatment for Co-occurring Disorders, Cardiovascular Health, Nutrition & Physical Activity, Office of Equity and Minority Health (OEMH), Communicable Disease Information and Resources, Mother Infant Health & Equity Improvement Plan (MIHEIP), Michigan Perinatal Quality Collaborative (MI PQC), Mother Infant Health & Equity Collaborative (MIHEC) Meetings, Go to Birth, Death, Marriage and Divorce Records, Child Lead Exposure Elimination Commission, Coronavirus Task Force on Racial Disparities, Michigan Commission on Services to the Aging, Nursing Home Workforce Stabilization Council, Guy Thompson Parent Advisory Council (GTPAC), Strengthening Our Focus on Children & Families, Supports for Working with Youth Who Identify as LGBTQ, Go to Contractor and Subrecipient Resources, Civil Monetary Penalty (CMP) Grant Program, Nurse Aide Training and Testing Reimbursement Forms and Instructions, MI Kids Now Student Loan Repayment Program, Michigan Opioid Treatment Access Loan Repayment Program, MI Interagency Migrant Services Committee, Go to Protect MiFamily -Title IV-E Waiver, Students in Energy Efficiency-Related Field, Go to Community & Volunteer Opportunities, Go to Reports & Statistics - Health Services, Other Chronic Disease & Injury Control Data, Nondiscrimination Statement (No discriminacion), 2022-2024 Social Determinants of Health Strategy, Go to Reports & Statistics - Human Services, MDHHS-CriminalConviction-Central-RegistryRequests@michigan.gov, Central Registry Clearance Requests (michigan.gov). This is not an exhaustive list and redactions may include more information: The identity of the person who complained to CPS about suspected child abuse or neglect. Former or current students seeking their elementary and high school transcripts for a DACA filing should submit a printable application with a $3.00 money order made payable to Chicago Public Schools or via e-pay below, and indicate that the request is for purposes of a DACA filing. Date FORMTEXT 2 . 8-13) Previous edition obsolete. PDF SRB 2022-004 SRM 131 1 of 40 CONFIDENTIALITY 11-1-2022 The agencies fax number is 207-287-5065. h ^J h1 hGQ ^J hGQ h& hGQ h& h& h& 5\&. Send to Centralized Intake at the address list on page 2.1. To learn more about child protection proceedings, read CPS and Your Family. You may have to ask MDHHS in writing to remove your name at the end of ten years. Once completed, the request form may be emailed (preferred method) as an attachment to, You wish to have the records emailed via secure link or mailed to you. A variety of reports & statistics for programs and services. Contact a Michigan Child Protective Services Defense Attorney Know Your Rights - Speak with an Experienced CPS Lawyer 1 (866) . * ? Records Management Section 275 E. Main St., 3E-G Frankfort, KY 40621. The Central Registry cannot be publicly searched. Records will be released if proper identification is provided. Statewide Reporting - Michigan CPS Lawyer Michigan Child Neglect and Training DHS-1555-CS (Rev. Please specify below how you prefer to receive the records requested. Case Description: (required) State Requirements. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. With written consent on the DHS-1929 by the individual being cleared, a copyof the results of the central registry clearance will be provided to authorized individuals and/or agencies listed on the request. Nothing on this or associated pages, documents, comments, answers, emails, or other communcations should be taken as legal advice for any individual case or situation. That your name was placed on central registry and for which criteria. CPS will refer very serious cases, such as those involving sexual abuse or the death of a child, to the police. Your name can go on this list even without a criminal conviction. Grand Rapids, MI 49546 OR Fax this form to 616-977-1154 or 616-977-1158 Or email this form to DHS-CPS-CIGroup@michigan.gov Date - Enter the date the form is being completed. C h i l d ( r e n ) s a d d r e s s ( N o . The form may also bemailed to or dropped off at: CPS Gatekeeper 925 Del Paso Blvd, Ste. 85 0 obj <> endobj There are also appeals available if you do not agree with the decision from the administrative law judge. All requests for expungement for a criminal conviction must be made through a motion to the convicting court. Statutory languageoutlining these requirements can be found on the Michigan Legislatures website. The notification ofplacement informs you of the following: Under the Child Protection Law, you have the right to seek amendment of an inaccurate reportor record from central registry by requesting the Michigan Department of Health and HumanServices (MDHHS) amend the report or record. For mail: The requested records will be mailed to you via certified mail. The classification "unsubstantiated" often is ascribed to situations in which investigators have been unable ACCESS TO RECORDS REQUEST Michigan Department of Health and Human Services This records request form concerns records maintained by Medicaid, other medical assistance programs, state facilities, and any other component of MDHHS that is subject to the HIPAA Privacy Regulations. The individual was not convicted of an offense listed. Following an investigation, States classify child abuse records in a variety of ways, depending on the State's statutory language. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. The registry lists the following information: When your name is added to the Central Registry, you will get a letter from MDHHS telling you the following: Some CPS investigations lead to the filing of a court petition, which starts a child protection proceeding in court. 133 0 obj <>/Filter/FlateDecode/ID[<039D8C3E4DE15C459EE787FA463E5B7D>]/Index[85 303]/Info 84 0 R/Length 209/Prev 367567/Root 86 0 R/Size 388/Type/XRef/W[1 3 1]>>stream Any heir (with certified death certificate), Any legal representative of an eligible person (Legal representative must state whom they are representing and show proof of said representation), The individual who is the subject of the record. PDF AUTHORIZATION TO RELEASE CONFIDENTIAL INFORMATION Michigan Department Information describing an ongoing criminal investigation. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Information is collected to monitor the general health and well-being of Michigan citizens. *"SRcbml-,ML ut54UTed%$EDyx98YXL0}FD]?H10 q+9@ Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. You may also request that the Michigan Department of Human Services expunge your record. The minor who is the subject of the juvenile . 2300 E. Grand River, Ste. If a Child Protective Services (CPS) investigation shows by a preponderance of evidence that you abused or neglected a child, your name will be added to the list. They may be needed for various reasons, including transferring to a different school, applying to extracurricular programs, and applying to college or other postsecondary opportunities. CPS and Your Family | Michigan Legal Help Low-income Households Water Assistance Program (LIHWAP). A response letter will be sent within ten business days to the individual or authorizedrequester seeking a central registry clearance on an individual. These amendments will become effective on November 1, 2022. Central Registry - Michigan If the abuse and neglect involved certain very serious harm, such as sexual abuse or serious physical injury, your name will stay on the Central Registry for your lifetime. Former students can submit a request for a transcript or other permanent student record in one of two ways: Records are mailed to your desired location via the US postal service. Practice areas include the following counties/cities: 2023 The Kronzek Firm PLC. 387 0 obj <>stream CPS can provide former students with a copy of a high school transcript, verification of a graduation date from high school, a copy of an elementary school transcript, and an elementary registration card or immunization records. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. We will continue to give updates as more information becomes available. Transcripts will be mailed. Request DCS Information | Arizona Department of Child Safety Legal Division at CSARequestforLegalResearch@michigan.gov. Health Care Coverage information and resources. For assistance with this website and/or process please call (502) 564-3834. The individual is presumed to be a risk to children, and the burden is on the individual requesting to be removed from the central registry. F a t h e r s n a m e F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 5 . Under the Michigan Freedom of Information Act 15.231 et seq., I am requesting an opportunity to inspect or obtain copies of public records that [Describe the records or information sought with enough detail for the public agency to respond. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. In most cases, you will have access to CPS records except for the person who made the allegations against you. The statement "at the request of the individual" is sufficient when the individual initiates an authorization and does not, or . The Central Registry contains your name and the child abuse or child neglect allegation against you. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. )@ fea Be as specific as your knowledge of the available records will allow. How to Get a CPS Case Closed &. Michigan Department of Health and Human Services (MDHHS), The names and birthdates of people who abused or neglected a child, The names and birthdates of children who were abused or neglected, The names of other adults or children who were in a home with an abused or neglected child but were not involved in the abuse or neglect, The type of abuse or neglect that happened, You have the right to review the case record, Who can view your name on the Central Registry, What to do if you disagree with your name being listed on the Central Registry. Maine - Before a child abuse history check can be requested, an agency must first register its agency with the State of Maine to receive such information. The form can be requested by contacting Janene or Barbara at 1-800-452-1999, ext. Please provide as much information as possible, including full names and dates of birth for the child, the parents and the alleged perpetrator (if a caregiver other than a parent). Cabinet for Health and Family Services - Kentucky There are no longer free requests. A CPS investigator will contact the person the report was about and tell them about the complaint. PDF Department of Child, Family and Adult Services, Child Protective All Rights Reserved. The notification of placement is sent to you by either registered or certifiedmail, return receipt requested, or delivery restricted to the addressee. When making a transcript or records request, please consider the following projected timelines, allowing time for postal service delivery, to receive your records: If you are seeking a copy of your immunization records on file prior to 1989, you must submit your request directly to your former school. Michigan Child Molestation Defense Lawyers, In Michigan, if you have been charged with child abuse or child neglect (Category I or II), you will be placed on Michigans Central Registry. PDF AMENDMENT OR EXPUNCTION - Michigan Department of Health and Human Services See SRM 701, LEIN Use, System & Security Policy, for additional People who are on the Central Registry because they have been accused of abuse or neglect have a right to see the record, but the name of the person who reported the abuse may be kept confidential. Puerto Rico has no clear child abuse registry available. 1. The Movement to Quickly Report Child Abuse Are There Downsides? Out of State Clearances - Department of Human Services The information on this website is not for intended to create, and receipt or viewing of this information does not constitute an attorney-client relationship. This authorization form is acceptable to the Michigan Department of Human Services as compliant with HIPAA privacy A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Within 30 days of classifying your alleged abuse as Category I or Category II, the Michigan Department of Health and Human Services (or Childrens Protective Services) must notify you in writing that you are on the Central Registry. Once completed, the request form may be emailed (preferred method) as an attachment to CPSGatekeeper@saccounty.gov. you may request the Michigan Department of Human Services amend an inaccurate CPS report or record. You may also request that the Michigan Department of Human Services expunge your record. (1) Within 24 hours after receiving a report made under this act, the department must refer the report to the prosecuting attorney and the local law enforcement agency if the report meets the requirements of subsection (3) (a), (b), or (c) or section 3 (6) or (9) or must commence an investigation of the child suspected of being abused or neglected. 1. The purpose of the CPS investigation is to find out if your child was abused or neglected. | Please leave this field empty. Universal caseload, or task-based processing, is a different way of handling public assistance cases. Connect with Us &\I3 Access to Records Request - MI Health When the Michigan Department of Health and Human Services (MDHHS) is contacted by law enforcement seeking the assistance of CPS in the removal of a child, CPS must immediately contact the designated judge or referee. If you are denied access to your information, you will be told why. All Rights Reserved. The type of information contained in central registries and department records varies from state to state, but usually includes the name of the alleged perpetrator(s). For more information about transcripts and other permanent student records, email Former Student Records at fsrecordsco@cps.edu. Their phone number is 517-335-8666. Access to CPS Information Individuals often contact the OCO with questions about confidential Children's Protective Services (CPS) investigation of alleged child abuse or neglect. information about the Department's public safety programs. Checks or money orders must be made payable to: Cass County Clerk Register. L i s t o f c h i l d ( r e n ) s u s p e c t e d o f b e i n g a b u s e d o r n e g l e c t e d ( A t t a c h a d d i t i o n a l s h e e t s i f n e c e s s a r y ) N A M E B I R T H D A T E S O C I A L S E C U R I T Y # S E X R A C E F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 3 .
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