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By the Department of Licensing and Regulatory Affairs to secure emergency medical for the above named minor child while in care. I certify that I accurately completed this form and if anything changes, I will notify the provider by updating this form. Signature of Parent or Guardian Date Card Reviewed Date Signed Parent or Legal Guardian Initials Date Card Reviewed Parent or Legal Guardian Initials Date Card Reviewed Parent or Legal Guardian Initials Date Card Reviewed Parent or Legal.

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How to fill out the MI BCAL-3731 online

Filling out the MI BCAL-3731 form online is an important step in the child information record process for child care licensing in Michigan. This guide provides clear and detailed instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the MI BCAL-3731 form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the child's full name in the designated field, including their last name, first name, and middle initial.
  3. Provide the child's date of birth in the specified format. This information is crucial for identifying the child.
  4. Fill in the child's address, including the number and street, along with the building or apartment number if applicable.
  5. Enter the name of the parent or legal guardian. If there is an additional parent or legal guardian, fill that information in the optional field.
  6. Complete the contact information including home phone and cell phone numbers for the parent or legal guardian.
  7. If the home address of the parent or legal guardian is different from the child's, provide that address information.
  8. Input the email address of the parent or legal guardian, which is optional but recommended for future communications.
  9. In this section, provide the name and contact information for the child's physician or health clinic.
  10. List preferred hospitals for emergency treatment, if desired, in the optional space provided.
  11. Indicate any allergies, special needs, or special instructions regarding the child. You may attach additional sheets if necessary.
  12. Enter the emergency contact information, including all individuals who can be contacted in case of an emergency, ensuring at least one contact is not a parent or legal guardian.
  13. List individuals authorized to release the child, separate from parents or legal guardians, ensuring to provide their contact details.
  14. The parent or legal guardian must provide their initials confirming permission for emergency medical care and their signature, along with the date signed.
  15. Finally, review all sections for accuracy before saving changes, downloading, printing, or sharing the completed form.

Complete your MI BCAL-3731 form online to ensure a smooth child care licensing process.

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DEA-363 2012 Perry Ellis International Request Form For New Vendor Account 2015 2023 Schedule CA (540) California Adjustments - Residents. 2023, Schedule CA (540), California DEA-363 2017

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