Special Investigation Record, CWL-0259 - State of Michigan-2025

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The document is a Special Evaluation Record from the Michigan Department of Health and Human Services, detailing the process for reporting and evaluating alleged violations in foster care licensing. It includes sections for department information, reporter details, nature of intake, alleged violations, and recommended regulatory actions. The form outlines procedures for completing and submitting the evaluation record to ensure compliance with child welfare regulations.

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Click ‘Get Form’ to open the Special Investigation Record, CWL-0259 in the editor.
Begin with Section I, where the Licensing Worker must fill in their name, department information, and contact details. Ensure all fields are completed accurately for proper identification.
Move to Section II to provide Reporter Information. Fill in the reporter's name, address, and contact method. Be sure to specify the nature of the intake and any alleged statute violations.
In Section III, document any initial and subsequent alleged violations. Indicate whether noncompliance occurred and recommend regulatory actions as necessary.
Once all sections are filled out, review for accuracy. Use our platform’s features to save your progress or make edits before finalizing.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (57 Votes)
2016	4.3 Satisfied (43 Votes)

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How do I access my court records in Michigan?

ICHAT is the only public resource for name-based Michigan criminal history background checks. There are tutorials for government/charitable users, billed users, pay-as-you go users, and guest users.

How do I get my criminal record from the state of Michigan?

To obtain a Criminal Record Check either contact the Michigan State Police Central Records Division at (517) 241-0606 or go to the Michigan State Police Website at: .michigan.gov/ichat to obtain information on how to use the Internet Criminal History Access Tool (ICHAT). Telephone: (517) 322-1624.

How to file a complaint against CPS in Michigan?

Call 1-855-444-3911 if you are making a complaint regarding abuse, neglect or exploitation: In a child-caring institution. In a juvenile-court-operated facility. In a childrens foster home.

How do I get a copy of my criminal record in Michigan?

Please note that other types of searches by government agencies and non-profit charitable organizations such as on housing, license, or student applicants or on non-staff physicians and other sub-contractors still require payment of the $10-per-search fee as set by state law.

How much does a background check cost in Michigan?

Public court records can be viewed online at . Requests for copies of a public record must be submitted on a File / Copy Request Form (PDF).