Bcal 4594-2026

The document is a record template for conducting and documenting home fire and tornado drills as required by the Michigan Department of Human Services. It includes sections for recording the provider's name, license number, drill type, date, time, evacuation time, and staff responsible for conducting the drills. It outlines the required months for fire and tornado drills and provides a note on non-discrimination policies and assistance under the Americans with Disabilities Act.

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Click ‘Get Form’ to open the bcal 4594 in the editor.
Begin by entering the 'Name of Provider/Facility' and 'License Number' at the top of the form. This information is essential for identifying your facility.
Next, specify the 'Licensing Year' and select the 'Type of Drill' you are documenting, whether it’s a fire drill or tornado drill.
For each month listed under 'Required Fire Drills', input the corresponding 'Date', 'Time of Day', and 'Evacuation Time'. Ensure accuracy as this data is crucial for compliance.
Repeat step 4 for the months designated for 'Required Tornado Drills'.
In the 'Conducted By' section, enter the name of the staff member who conducted each drill.
Utilize the 'Notes' section for any additional comments or observations related to the drills conducted.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (24 Votes)
2016	4.7 Satisfied (58 Votes)
2014	4 Satisfied (37 Votes)

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