Staff

Request For Central Registry Clearance FormMichigan Residents:

Start by Printing off this FORM

Fill it out.

Then locate your local DHS County office and take the form out for authorization.

Map of DHS County Offices
Go to link the below to find your county office to have your
REQUEST FOR CENTRAL REGISTRY CLEARANCE Done.
http://www.michigan.gov/dhs/0,1607,7-124-5461—,00.html

Non – Michigan Residents:
Mail or fax all requests to:
Department of Human Services
Bureau of Children and Adult Licensing
7109 W. Saginaw, 2nd Floor
P.O. Box 30650
Lansing MI 48909-8150

Fax Number: (517) 335-6121
Contact Phone: (517) 373-8383

Thanks,

Brad

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