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  • Department Of Human Services Internal Complaint Form

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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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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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