Cwl 1326-2026

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The document is a Licensing Record Clearance Request form from the State of Michigan's Department of Human Services, designed for individuals seeking licensure in child care, adoption, or foster care. It outlines the process for completing the form, including providing personal information and undergoing fingerprint checks to assess criminal records and child abuse history. The form emphasizes the importance of accurate information and details the consequences of providing false data.

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Click ‘Get Form’ to open the cwl 1326 in the editor.
Begin with SECTION I: REQUESTOR INFORMATION. Fill in your TCN#, CPA License Number, and Date Fingerprinted. Ensure that the Licensing Consultant/Worker's details are clearly printed.
In the LICENSEE/APPLICANT NAME section, provide your full name and select the appropriate LICENSE/APPLICATION TYPE by checking only one box.
Proceed to SECTION II: CLEARANCE INFORMATION. Here, print your name, gender, birth date, social security number, and other personal details clearly.
Complete any additional questions regarding criminal history and provide your signature at the end of the form to certify accuracy.

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Cwl 1326-2026

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