Adult Services Application - DHS-390 - State of Michigan - michigan 2026

1. Click ‘Get Form’ to open the Adult Services Application - DHS-390 in the editor.
2. Begin by filling in your Case Name, Case Number, and Recipient I.D. Number at the top of the form. Ensure all information is accurate for proper processing.
3. Provide your Full Name, Telephone Number, TTD No., address, and Social Security Number in the designated fields. This information is crucial for identification and communication.
4. In Section A, mark the boxes next to the services you require. Review each option carefully to ensure you select all relevant services that apply to your situation.
5. Proceed to Section B and indicate your current status as a recipient by checking the appropriate boxes. This helps determine eligibility for various programs.
6. Read through Section C regarding your rights and responsibilities. It’s important to understand these before signing at the end of the application.
7. Finally, sign and date the application at the bottom to certify that all provided information is correct and complete.

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