Change, Waiver LARA is proud to be recognized as a Veteran-Friendly Employer committed to military veteran recruitment, training and retention practices. Office of Great Start To submit billing for a child receiving Child Development and Care (CDC) assistance, go to the I-billing login page. Child Care Licensing Bureau forms are available on the website as PDFs and Word Documents. What is the Process for Completing a Child Care Background Check? Other Out-of-State Entities must complete a Central Registry Clearance Request - DHS-1929 (Word doc)form and send bymail or fax. A: The fingerprint background check costs $65.25. To learn more about becominglicensed as a child care center, group child care home orfamily child care home, call the Child Care Licensing Bureau toll free at 1-866-685-0006 or visit theChild Care Licensing Bureau site. Agreements, Corporate LARA will send you a form that tells you how to request a re-determination, in the event that this determination was made based upon inaccurate information or records. Minutes, Corporate Review of the department's database for previous disciplinary action. Your personal identification number (PIN). Birth, Death, Marriage and Divorce Records. "The Forms Professionals Trust . An EduPaths account will keep a record of theinstructional videoscompleted. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. Each person who is put into the CCBC System must complete the Consent and Disclosure form, and provide all necessary information, forms, and fees necessary to complete the comprehensive background check. Business Packages, Construction HVYoH~Acvzkc}Hc)RGI$G%;0 #7:XWe {{^,o.F;:pb#cA20&*`~/ar ggV?NM!, xXQ PaH%@i<105HZ3$h-%P626QZ%S_hqJ~`A/=8q4b##f Q{X7bQ=> `%U$ Information on communicable & chronic diseases. & Resolutions, Corporate 8-18), Independent Living Contract CPA Audit Workbook (Rev. Out-of-state entities requesting Central Registry clearances for the reasons outlined in Section IV. Michigan Public Sex Offender Registry (PSOR). This Child Care Verification form is used to notify the Court, as well as the opposing party, that child care is in place for the minor child or children. General Provisions - BCAL-1888, Child Care Center Compliance Record, Part 2. The estimated check mailing date and Electronic Funds Transfer (EFT) deposit dates are listed on the CDC Payment Schedule. Reducing Barriers to Licensure for Military Families, Corporations, Securities & Commercial Licensing, Find / Verify a Licensed Professional or Business, Make a Complaint About a Licensed Professional or Business, Look Up Underground Storage Tank Information, Access the Online Liquor Ordering (OLO) System, Regulated Products, Professions, & Businesses Activities, Resources for Veterans & Military Families, https://dev.michigan.local/som/json?sc_device=json, Playground Inspection Certification Summary CCL-5047 Word, Go to An Online Resource for Skilled Immigrants, Medical Marijuana Program (MMMP) Patients & Caregivers, Learn About CRA Rules, Laws & Regulations, Find / Verify a CRA Licensed Professional or Business, Make a Complaint About a CRA Licensed Professional or Business, Track Marijuana Inventory - Statewide Marijuana Monitoring System (Metrc), Find Panel, Public Hearing & Workgroup Information, Find a Disciplinary Action Report or Document, Learn About CCL Rules, Laws & Regulations, Find / Verify a CCL Licensed Professional or Business, Make a Complaint About a CCL Licensed Professional or Business, Apply for / Renew a BCC License or Permit, Find / Verify a BCC Licensed Professional or Business, Make a Complaint About a BCC Licensed Professional or Business, Learn About Examinations & Continuing Education, Find / Verify a BCHS Licensed Professional or Business, Make a Complaint About a BCHS Licensed Professional or Business, Go to Corporations, Securities & Commercial Licensing, Find / Verify a CSCL Licensed Professional or Business, Make a Complaint About a CSCL Licensed Professional or Business, Contact the Michigan Liquor Control Commission, Local Government & Law Enforcement Resources, Go to Michigan Office of Administrative Hearings and Rules, Administrative Hearings Frequently Asked Questions, Request to Attend a Hearing (for Media Professionals), Go to Michigan Indigent Defense Commission, Learn About Continuing Legal Education (CLE), Make a Complaint or Inquiry About a Utility Provider, Compare Natural Gas Utilities Options (MI Gas Choice), Submit an Underground Utilities Locate Request (MISS DIG 811), Learn About Natural Gas & Pipeline Providers, Learn About Rules of Practice and Procedure, Find / Verify a BPL Licensed Professional or Business, Make a Complaint About a BPL Licensed Professional or Business, Michigan Automated Prescription System (MAPS), Find / Verify a UCC Licensed Professional or Business, Make a Complaint About a UCC Licensed Professional or Business, Go to Apply for / Renew a License or Permit, Go to Find / Verify a Licensed Professional or Business, Go to Make a Complaint About a Licensed Professional or Business, Go to Look Up Underground Storage Tank Information, Go to Look Up a Controlled Substance (MAPS), Go to Access the Online Liquor Ordering (OLO) System, Go to Look Up a Disciplinary Action Report, Go to Submit a Request for Information (FOIA), Go to Regulated Products, Professions, & Businesses Activities, Go to Requesting Information from LARA (FOIA), Go to Resources for Veterans & Military Families, Report of Actual or Suspected Child Abuse or Neglect - DHS-3200 - Spanish, Report of Actual or Suspected Child Abuse or Neglect - DHS-3200 - Arabic, Michigan Child Care and Education Professional Development Record for Child Care Centers CCL-4591 - PDF, Michigan Child Care and Education Professional Development Record for Child Care Centers CCL-4591 - Word, Staffing Plan: Child Care Center CCL-5001 - PDF, Staffing Plan: Child Care Center CCL-5001 - Word, Staffing Plan: Child Care Center CCL-5001 Excel, Child Care License Designee CCL-5003 - PDF, Child Care License Designee CCL-5003 - Word, Certification of School Building Fire Safety Provisions CCL-5043 - PDF, Certification of School Building Fire Safety Provisions CCL-5043 - Word, Self-Certification of Transportation Provisions for Centers CCL-5044 - PDF, Self-Certification of Transportation Provisions for Centers CCL-5044 - Word, Volunteer Certification for Field Trip Transportation CCL-5046 - PDF, Volunteer Certification for Field Trip Transportation CCL-5046 - Word, Playground Inspection Certification Summary CCL-5047 - PDF, Family and Group Child Care Home Compliance Record - BCAL-4601, Preparing for Your License Renewal Fire Safety Inspection - BCAL-5048, Child Care Center Compliance Record, Part 1. Summer 2022 Child Care Stabilization Grants:To go directly to information about the Summer 2022 grants, click the following link: Summer 2022 Child Care Stabilization Grants. View new health and safety requirements, including background checks, annual visits,and trainingfor eachchild care provider type. Forms and applications listed here are only a portion of those available. Only available for licensed providers. Divorce, Separation Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. Of the $64.25 charged, the following is received by these agencies: If a person has lived outside of Michigan within the past 5 years, additional out of state background checks are required. HVnF}W({0`I@R (&QS;%Ejy!w3{%BboQlKgj 4Q\.]6QkW\]"\`>jx(+&K z% "'Qkx3:+\M)h@$l[3;xMh?&)L7{8<<8-xFS$VV;Cc]TU1:Iq`Vgow !'5On)$KI KZ(DI1jL-URn7W$Pz+. For reimbursement, please go to the Provider Resources section and review the I-Billing instructions and Billing help information. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. Incident Report CCL-4605 - Word, Parent Notification of the Licensing Notebook CCL-5053 PDF, Parent Notification of the Licensing Notebook CCL-5053 - Word, Multiple Occupancy Documentation for Child Care Centers CCL- 2118 PDF, Multiple Occupancy Documentation for Child Care Centers CCL- 2118 Word, Ownership Interest Disclosure CCL-2119 PDF, Ownership Interest Disclosure CCL-2119 Word. USLegal received the following as compared to 9 other form sites. This is an official form from the State of Michigan. The steps of the processareoutlined in the the Child Care Background Check Process document. Records, Annual A-Z, Form Occasionally, the department may receive funds to assist with the cost of fingerprinting. Universal caseload, or task-based processing, is a different way of handling public assistance cases. 8 Properties: Verification - Disability for Section 202-8 Properties Child Care Verification Form. 2-19a), DHS-990-SP, Relative Notification Letter (Spanish), DHS-990-AR, Relative Notification Letter (Arabic), DHS-3200, Report of Actual or Suspected Child Abuse or Neglect, DHS-3200-SP, Report of Actual or Suspected Child Abuse or Neglect (Spanish), DHS-3200-AR, Report of Actual or Suspected Child Abuse or Neglect (Arabic), State of Michigan Sudden & Unexplained Child Death Scene Investigation Form, DHS-3043, Earned Income Tax Credit Temporary Assistance for Needy Families (TANF), DHS-3043-SP, Asistencia Federal Temporal a Familias Necesitadas (TANF) Determinacin de Elegibilidad, DHS-1514-SP, Solicitud Para Ayuda de Emergencia del Estado, MDHHS-6039, Family Preservation Contracted Universal Referral, DHS-229, Families First of Michigan Initial Service Plan, DHS-408, Family Reunification Program, Updated Service Plan, DHS-411, Family Reunification Program, Initial Service Plan, DHS-535, Termination Report (Families Together Building Solutions), DHS-528,Families Together Building Solutions Updated Service Plan, DHS-523, Families Together Building Solutions Initial Service Plan, MDHHS-5921, Youth Health Information for Residential Discharge, MDHHS-5922, Youth Health Information for Residential Referral, MDHHS-5922-A, Youth Health Information for Residential Intake, DHS-3005, Recommendation and Assurance for Pre-Adoption and Requirement Certification, DHS-3750, Sending State Priority Home Study Request, DHS-4332, Interstate Compact Placement Request, DHS-4333, Interstate Compact Report on Child's Placement Status, DHS-4336, Interstate Compact on the Placement of Children Placement Prescreening, MDHHS-5944, Interstate Commission for Juveniles (ICJ) Return Placement Invoice, Adult Foster Care and Homes for the Aged rules and statutes, BCAL-PUB-339, License Renewal Inspections, CWL-4606, Child Welfare Licensing Placement Assistance Request, CWL-4618, Disciplinary Action Unit Denial/Provisional/Revocation Checklist, CWL-4006, Variance Request for CAP/CCI/COF Rules, CWL-4607-CON, Chief Administrator Annual Assessment and Corrective Action Plan (Public and Contract Child Placing Agency), No Contract CPA Audit Workbook (Rev. Finish redacting the form. Other documents you will need: Your selected provider will need to fill out a provider verification form before they can collect payment: https://www.michigan.gov/documents/dhs/DHS-4025_297108_7.pdf If you don't already have one, you can find a provider on the web at http://greatstarttoquality.org/. Tarifas de reembolso para desarrollo y cuidado infantil (CDC). Liens, Real You must meet requirements and apply to become a license exemptprovider in order to receive assistance payments for a child that you care for. ,:}3-"k,.Q$'MBsjz0MpfUSVR^JEJy-L'~ 3rj Note: Child care payments may not be approved for respite care, as defined in BPG Glossary. MI Kids Matter is a resource from the Michigan Department of Education Office of Great Start. Instructions for completing an Internet Billing form. Every template is drafted and updated by state-certified lawyers. All information is provided in good faith, however, we make no representation or warranty of any kind regarding its accuracy, validity, reliability, or completeness. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Provider billing information submitted after the deadline, but within seven days of the deadline, will be paid the following week. 517-241-1806. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. (S or C-Corps), Articles for Deed, Promissory Planning, Wills Information on the Safe Delivery Program, laws, and publications. Directive, Power 7150 Harris Drive To view these instructional videos, you may use this helpfulstep-by-stepinstruction guideorfor Spanish gua de instrucciones paso a paso. A: If you wish to be licensed as a child care center, group child care home orfamily child care home, call the Child Care Licensing Bureau (CCLB) toll free at 1-866-685-0006 or visit: www.michigan.gov/michildcare. This form must be completed and signed by your childcare provider. Liens, Real Children's Protective Services Program 6/22Page 1 of 5 YOUR INCOME, MEDICAL, EDUCATIONAL, AND HEALTH INSURANCE INFORMATION (continued) 48. Planning Pack, Home Application for Child Care Plan Review (BCHS-FS-13), Child Care Center Notice of Arraignment or Conviction CCL-1486 - PDF, Child Care Center Notice of Arraignment or Conviction CCL-1486 - Word, Child Information Record - CCL-3731 Web Proected, Child Information Record - BCAL 3731-AR (Arabic), Documento de Informacin del Nio Estado de Michigan - BCAL-3731-SP, Written Information Packet Documentation CCL-4340 - PDF, Written Information Packet Documentation CCL-4340 - Word, Change of Use Space Request for School-Age Programs Located in Schools CCL-4342 - PDF, Change of Use Space Request for School-Age Programs Located in Schools CCL-4342 - Word, Lead Hazard Risk Assessment Summary CCL-4344 - PDF, Lead Hazard Risk Assessment Summary CCL-4344 - Word, No Change in Building Construction Declaration CCL-2129 - PDF, No Change in Building Construction Declaration CCL-2129 - Word, Infant/Toddler Primary Caregiver Documentation CCL-4557 - PDF, Infant/Toddler Primary Caregiver Documentation CCL-4557 - Word, Center Fire and Tornado Drill Record - CCL-4593 - PDF, Center Fire and Tornado Drill Record - CCL-4593 - Word, Staffing Plan: Child Care Center CCL-5001 - PDF
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