Special Investigation Record, CWL-0259 - State of Michigan-2026

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  1. Click ‘Get Form’ to open the Special Investigation Record, CWL-0259 in the editor.
  2. 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.
  3. 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.
  4. In Section III, document any initial and subsequent alleged violations. Indicate whether noncompliance occurred and recommend regulatory actions as necessary.
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