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  • Department Of Human Services Internal Complaint Form

Get Department Of Human Services Internal Complaint Form

DEPARTMENT OF HUMAN SERVICES INTERNAL COMPLAINT FORM Instructions: 1. Please type or write clearly in ink below and attach copies of all documents requested; 2. Mail this form and copies of all documents.

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How to fill out the DEPARTMENT OF HUMAN SERVICES INTERNAL COMPLAINT FORM online

Filing a complaint with the Department of Human Services is a straightforward process when you have clear guidance. This guide will help you navigate each section of the Internal Complaint Form with ease and ensure you provide all necessary information.

Follow the steps to successfully complete the form online.

  1. Click ‘Get Form’ button to access the Department of Human Services Internal Complaint Form, allowing you to fill it out online.
  2. Begin by entering your complainant information. You will need to provide your name, mailing address, and contact numbers, including both home and work phone numbers.
  3. If you are a current or former state employee, complete the additional sections by entering your position number, position title, bargaining unit, and the department, division, branch, or section you were associated with.
  4. Indicate the type of complaint by selecting from the options provided. Ensure to attach any necessary forms, such as DHRD Form 259 or DHRD Form 276, if applicable.
  5. In the 'Action You Wish to Appeal' section, describe the complete facts supporting your complaint. Be sure to attach any supporting documentation, such as recruitment announcements or written statements.
  6. Cite the specific personnel law, rule, or policy that you believe has been misapplied, misinterpreted, or violated, providing as much detail as possible.
  7. Clearly state the remedy you are seeking. Describe how you believe this complaint can be resolved to your satisfaction.
  8. If you have a representative, include their details, such as their name, union or organization affiliation, mailing address, and telephone number.
  9. Finally, sign and date the form to verify the information you provided is accurate and true.
  10. Once the form is completed, review for accuracy, save changes, and prepare to print or download it. Follow the mailing instructions to send your completed form and documents to the Personnel Office.

Begin filling out your Internal Complaint Form online today to ensure your voice is heard!

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If you believe your civil rights, or someone else's, have been violated, submit a report using our online form. If you or someone else is in immediate danger, please call 911 or local police. If you are reporting misconduct by law enforcement or believe you have experienced a hate crime, please contact the FBI.

Elizabeth Hertel is the Director of the Michigan Department of Health and Human Services (MDHHS).

For cases which require an emergency response, please continue to call 911 and then the Centralized Intake Hotline at 855-444-3911 instead of using the Michigan Online Reporting System to submit a complaint.

Contact Your Local Office or MDHHS Customer ServiceTop You can also try calling the main MDHHS phone line at (517) 241-3740.

Email: orr@network180.org; Fax: 616.336. 8812; Mail: Network180 ORR, 790 Fuller Ave NE, Grand Rapids MI 49503. If you send your complaint to Michigan Department of Health and Human Services, Office of Recipient Rights (MDHHS-ORR), it will be forwarded to the appropriate rights office.

HOW DO I FILE A COMPLAINT? Go to the reception area of your welfare office and get a “Client Complaint or Report of Discrimination Form” (DHS 0170). If you cannot find any complaint forms, ask the receptionist to give you one. Fill out the form and give it to the receptionist.

There are several ways to file a complaint form with the Iowa Civil Rights Commission: Submit an electronic complaint form via . Access the online civil rights complaint form to submit your complaint. Submit a hard-copy complaint form via regular mail, e-mail, fax, or hand-delivery.

If this field has a caseworker's name, please contact that specific caseworker. If this field has the name Client Connection, this indicates the customer is supported by a team of caseworkers, and you should email MDHHS-UCL-CEGS@michigan.gov with questions.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232