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Get MI BCAL-3268 2016-2024

Rules, a resident may appoint a designated representative. “Designated representative” means that person or agency which has been granted written authority, be a resident, to act on behalf of the resident or which is the legal guardian of the resident. Rule 400.14112/400.315102(1)(g).* I , appoint Name of Resident Name of Designated Representative to be my designated representative while I reside in this licensed adult foster care home. I acknowledge that this appointment remains in effe.

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