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CONSULTANT. 6. Name and Address of Health Inspection Agency 3. Status of License 4. Proposed/Current Capacity 1-20 21-50 51-100 100+ 5. Please return the completed inspection report by this date: HEALTH DEPARTMENT TELEPHONE NUMBER 7. Water Supply and/or Sewage Disposal (Use BCAL-1788) 9. Reason for Inspection Foster Family Home (1-4 children) New Application Relocation Foster Family Group Home (5-6 children) Reinspection Addition/Plan Review Family Child Care Home (1-6 children) R.

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How to fill out the Bcal 1788cwl online

Filling out the Bcal 1788cwl online can streamline your request for an environmental health inspection. This guide provides step-by-step instructions to ensure that you accurately complete the form, facilitating a smooth submission process.

Follow the steps to successfully complete the Bcal 1788cwl form.

  1. Press the ‘Get Form’ button to access the digital version of the Bcal 1788cwl form and open it in your preferred editor.
  2. Begin by entering the license number assigned to you by the Michigan Department of Human Services in the designated field.
  3. Next, input the expiration date of your license to indicate its validity.
  4. Consider the inspection fee when filling out the form. Most local health departments charge a fee, so contact them to confirm the amount before proceeding.
  5. In section 6, provide the name and address of the health inspection agency responsible for your request.
  6. Update your license status in section 3, indicating whether it is current or expired.
  7. Specify the proposed or current capacity for your facility in section 4. Options range from 1-20, 21-50, 51-100, to 100+.
  8. Enter the desired return date for the completed inspection report in section 5.
  9. Fill in the health department's telephone number in section 6 to facilitate communication.
  10. In section 9, select the reason for inspection from the provided options, including new application, renewal inspection, or complaint.
  11. Provide additional details regarding water supply, sewage disposal, and sanitation in section 8, as applicable.
  12. Complete the sections related to the licensing worker’s name, telephone number, and address in sections 11 and 12.
  13. Enter the facility name and address in sections 13 to 16, including city, township, county, and zip code.
  14. Include both facility telephone numbers in sections 20 and 21.
  15. If necessary, provide any additional comments or special requests in section 24.
  16. Complete the date of the last environmental health inspection in section 22.
  17. In section 25, confirm your request for an inspection and include your signature and the date.
  18. Finally, review your completed form for accuracy, save the changes, and prepare to download, print or share it as needed.

Complete and submit your Bcal 1788cwl form online to ensure a timely health inspection.

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