Money order (which is non-refundable) payable to the State of Michigan for the appropriate license application fee to: Michigan Department of Human Services Cashier s Office P.O. Box 30759 Lansing, MI 48909-8259 For additional information, please contact the Licensing Unit at (517) 284-9738 or toll free 866-685-0006 or Fax at (517) 284-9709. Thank you. Enclosure P.O. BOX 30650 LANSING, MICHIGAN 48909-8150 www.michigan.gov (517) 284-9727 BCAL-1051 (Rev. 5-14) MS Word Child P.
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How to fill out the Form 3502 online
The Form 3502 is an important document required for licensing a child placing agency in Michigan. This guide will provide clear, step-by-step instructions on how to accurately complete the form online, ensuring you provide all necessary information for a successful application.
Follow the steps to complete the Form 3502 online.
- Click ‘Get Form’ button to access the necessary form online and initiate the filling process.
- Begin with the facility information section. Enter the name of the agency exactly as it should appear on the license. Proceed to fill out details in fields 2 to 13, ensuring each entry is accurate.
- In the applicant organization information section, input the legal name under which the agency is incorporated or operates. Continue to complete items 15 to 22 with the relevant details.
- Direct mail preferences need to be indicated in field 23, specifying where official communications should be sent. Ensure the auspice type, whether governmental or non-governmental, is marked accurately in field 24.
- In the terms information section, indicate the functions the agency seeks authorization for and the corresponding number of cases for each as requested in fields 26 and 27.
- The application declaration statement must be signed by an authorized individual. This signature can be from a board president, agency owner, or appropriate government representative, completed in fields 28 to 34.
- Review all entries for accuracy. Once completed, users can save changes, download, print, or share the filled form according to their needs.
Complete the Form 3502 online to begin your licensing journey today.
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