AFC/HFA LICENSING RECORD CLEARANCE REQUEST 2026

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  1. Click ‘Get Form’ to open the AFC/HFA LICENSING RECORD CLEARANCE REQUEST in the editor.
  2. Begin by filling out the 'Requestor Information' section. Enter your name, facility name, county, license number, and type of license/application. Ensure all details are accurate for a smooth processing.
  3. In the 'Clearance Information' section, provide personal details such as your full name, marital status, gender, social security number, and address. Be sure to print clearly to avoid any misunderstandings.
  4. Indicate how long you have lived in Michigan and your phone number. Additionally, specify your race and height. If applicable, list other states you have resided in during the past five years.
  5. Answer the question regarding any past convictions truthfully. If you answer 'YES', provide details about the type, location, and date of conviction(s) on a separate sheet if necessary.
  6. Finally, sign and date the form at the bottom before submitting it to ensure your request is valid.

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