must notify you in writing that you are on the Central Registry. To review student records after the student has transferred, graduated, or withdrawn from school, parents and students may contact us at 773-535-4110. 6 If you disagree with the MDHHS decision to list your name on the Central Registry, write a letter to the MDHHS director in the county where the investigation occurred. The Michigan Department of Health and Human Services (MDHHS) keeps this list. Access to CPS Information Individuals often contact the OCO with questions about confidential Children's Protective Services (CPS) investigation of alleged child abuse or neglect. Howell MI 48843. Third-party requests for transcripts and verifications of graduation must be printed on business or institutional letterhead with an appropriate signed authorization and release from the former student. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Information about the Michigan law that requires certain information be made available to a woman who is seeking an abortion at least 24 hours prior to the abortion procedure. F o r n e w b o r n s c r e e n i n g r e s u l t s , p r o v i d e t h e m o t h e r s n a m e a t t h e t i m e o f b i r t h ) F O R M T E X T F O R M T E X T Y o u m a y r e q u e s t t h a t r e c o r d s b e s e n t t o y o u ( o r y o u r d e s i g n e e ) b y e m a i l , f a x , o r U . If you are requesting a birth certificate and the parents were not married at the time of the birth, and the child was born prior to 1978, the record must be obtained at the Michigan Department of Community Health. Your Name: (required) b`cO`Jf rW -Z 3P\kS#j6vP(2k WK Being listed on the Central Registry in Michigan prevents people from adopting a child, being a foster parent, licensing a daycare, working in a school, and more. FORMCHECKBOX Yes FORMCHECKBOX No(If yes, Log #(If no, contact Centralized Intake (855-444-3911) immediatelyINSTRUCTIONS: REPORTING PERSON: Complete items 1-19 (20-28 should be completed by medical personnel, if applicable). M o t h e r s n a m e F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 4 . These instructions may be revised at any time. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. At any time, an individual who has been placed on the central registry for a conviction may request, and the court shall request, an individuals name be removed from the central registry upon the individual prevailing in a motion to the convicting court if: Not more than once every 10 years after an individual has been placed on the central registry for a conviction, the individual may make a motion to the convicting court to request removal from the central registry. This means they remove your name and the evidence against you from the Central Registry, if they find that it is in the best interest of the child to do so. l'dNC;#d`vX|-o{AAY `EfFD:`]o,n"}00$ `8N Your Email: (required) Grand Rapids, MI 49546 OR Fax this form to 616-977-1154 or 616-977-1158 Or email this form to DHS-CPS-CIGroup@michigan.gov Date - Enter the date the form is being completed. Individuals often contact the OCO with questions about confidential Childrens Protective Services (CPS) investigation of alleged child abuse or neglect. CRC Form: Child Abuse Record Information Form Copy of CASA license SASE required 45 day New Mexico NM NEW MEXICO DOES NOT DO New York NY Office of Children & Family Services P.O. If you are currently and correctly listed on the Michigan Central Registry, you may request the Michigan Department of Human Services amend an inaccurate CPS report or record. Once completed, the request form may be emailed (preferred method) as an attachment to CPSGatekeeper@saccounty.gov. A physician treating a child suspected to have been abused or neglected, Law enforcement or a child protective agency investigating a report of known or suspected child abuse or neglect, The person listed as the perpetrator of child abuse or neglect, The victim of child abuse or neglect, so long as that victim is an adult, A court or grand jury, when the information is necessary to decide an issue, An adoption agency or foster care placement agency. Michigan Department of Health and Human Services (MDHHS), The names and birthdates of people who abused or neglected a child, The names and birthdates of children who were abused or neglected, The names of other adults or children who were in a home with an abused or neglected child but were not involved in the abuse or neglect, The type of abuse or neglect that happened, You have the right to review the case record, Who can view your name on the Central Registry, What to do if you disagree with your name being listed on the Central Registry. Guam, Kentucky, Louisiana, Maine, Michigan, Ohio, Oregon, Rhode Island do not require a form. &/I0yLz/g 3)7Y|h? The students temporary records include all school-related student information not contained in the permanent record. This site is protected by reCAPTCHA and the GooglePrivacy PolicyandTerms of Serviceapply. endstream endobj 713 0 obj <. PDF COURT INTERVENTION AND PLACEMENT OF CHILDREN - Michigan Department of * ? ! The individuals listed below may request a copy of the confidential CPS records from the Michigan Department of Health and Human Services: A parent or legal guardian. All Rights Reserved. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. & W v " # H g wk hGQ hGQ \^J aJ hGQ \^J aJ hN~ hGQ 5\^J aJ hGQ hGQ OJ QJ ^J hGQ OJ QJ ^J hN~ hGQ OJ QJ ^J hGQ hGQ h1 hGQ 5\^J h- hGQ 5\^J h1 hGQ Requesting CPS Records - Sacramento County, California Following an investigation, States classify child abuse records in a variety of ways, depending on the State's statutory language. Former students can obtain copies of transcripts and other permanent student records. Information & resources for Community and Faith-Based partners. Our firm works throughout Michigans lower peninsula, helping families and people with CPS and Central Registry problems.