Get Mi Dhhs Cwl-259 2018-2025

This guide provides a comprehensive overview of the MI DHHS CWL-259 form, including clear and supportive instructions for filling it out online. Whether you are a user with limited legal experience or simply looking for clarity, this guide offers the necessary steps to ensure accuracy and compliance.

Follow the steps to complete the MI DHHS CWL-259 form effectively.

1. Click the 'Get Form' button to obtain the document, which will allow you to access and fill out the MI DHHS CWL-259 online.
2. Begin with Section I: Department Information. Here, input the worker's name, department name, address, and phone number. Also, provide the special evaluation number, foster home license number, foster home name, worker load number, and intake date.
3. Proceed to Section II: Reporter Information. In this section, enter the reporter's name, including last name, first name, and middle name. Fill in the city, county, zip code, and telephone number. Include the mailing address and state. Specify the nature of the intake or reason for contact, and who is receiving the report, along with the contact method.
4. List the alleged statute and/or rule violations in Section II, and indicate whether the reporter is anonymous or not. Complete all required information clearly to ensure understanding.
5. In Section III, which is completed at closure, record any initial alleged statute and/or rule violations, and indicate if there was noncompliance. Make sure to provide details for all applicable violations.
6. Fill out the recommended regulatory actions by selecting the appropriate options such as refusal to renew, revocation, or change of license terms.
7. After completing all sections, review your entries to ensure accuracy and clarity. Ensure that no fields are left blank unless specified.
8. Once finalized, save the changes, and proceed to download, print, or share the form as required. Make sure to email the completed form to the specified DCWL 259 mailbox.

Start completing the MI DHHS CWL-259 online today to ensure correct submission and compliance.