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  • Ocal-1049, Afc Group Application Packet - State Of Michigan - Mich

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MEDICAL CLEARANCE REQUEST Michigan Department of Human Services Bureau of Children and Adult Licensing Division of Adult Foster Care & Home for the Aged Licensing APPLICANT/LICENSEE INFORMATION.

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To apply for a license, go to the Michigan Department of Human Services and fill out the online form for your group home. You may also visit your local Department of Human Services office and apply for a license there.

What is a group home? A group home is a private residence for children, young adults, adults, or seniors (state-mandated size of 8-16 individuals) who cannot live with their families or are diagnosed with chronic disabilities.

You must provide a Medical Clearance Request (BCAL 3704-AFC), or its equivalent, completed by a licensed physician or their designee for each license applicant and each responsible person. It cannot be dated more than 6 months prior to license issuance.

Group homes of any kind are regulated by the State of Michigan. State law permits group homes servicing six or fewer residents to be located within any residential neighborhood without specific approval from the respective city.

The Department of Human Services licenses and regulates homes for the aged and adult foster care (AFC).

A Licensing Information Request form will need to be completed and submitted for members of the household (18 years of age or older, who live in the home and are not foster care residents) and all responsible persons. If additional forms are needed, please contact the Licensing Unit at 1-866-856-0126.

Apply for a local zoning approval to start a group home that fits seven or more clients. You cannot receive a Michigan license unless you have a written zoning approval. You can obtain such approval in the local offices of the Department of Human Services or your local government offices.

Adult Foster Care (AFC) homes are licensed residential settings that provide 24-hour personal care, protection, and supervision for individuals who are developmentally disabled, mentally ill, physically handicapped or aged who cannot live alone but who do not need continuous nursing care.

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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