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141
![Form DHS-18 "Request for Hearing" - Michigan](https://data.templateroller.com/pdf_docs_html/1796/17967/1796763/form-dhs-18-request-for-hearing-michigan.png "Form DHS-18 "Request for Hearing" - Michigan")
![Form DHS-8A "Irrevocable Funeral Contract Certification" - Michigan](https://data.templateroller.com/pdf_docs_html/1796/17967/1796761/form-dhs-8a-irrevocable-funeral-contract-certification-michigan.png "Form DHS-8A "Irrevocable Funeral Contract Certification" - Michigan")
![Form DHS-27 "Authorization to Release Information" - Michigan](https://data.templateroller.com/pdf_docs_html/2266/22669/2266966/form-dhs-27-authorization-to-release-information-michigan.png "Form DHS-27 "Authorization to Release Information" - Michigan")
![Form DHS-942 "School Notification and Education Records Release" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22676/2267607/form-dhs-942-school-notification-and-education-records-release-michigan.png "Form DHS-942 "School Notification and Education Records Release" - Michigan")
![Form DHS-355 "Participation Agreement for Michigan's Low Income Home Energy Assistance Program" - Michigan](https://data.templateroller.com/pdf_docs_html/2010/20103/2010324/form-dhs-355-participation-agreement-for-michigan-s-low-income-home-energy-assistance-program-michigan.png "Form DHS-355 "Participation Agreement for Michigan's Low Income Home Energy Assistance Program" - Michigan")
![Form DHS-390 "Adult Services Application" - Michigan](https://data.templateroller.com/pdf_docs_html/1820/18200/1820065/form-dhs-390-adult-services-application-michigan.png "Form DHS-390 "Adult Services Application" - Michigan")
![Form DHS-54A "Medical Needs" - Michigan](https://data.templateroller.com/pdf_docs_html/2064/20649/2064939/form-dhs-54a-medical-needs-michigan.png "Form DHS-54A "Medical Needs" - Michigan")
![Form DHS-399 "Foster Care Placement Exception Request" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22676/2267622/form-dhs-399-foster-care-placement-exception-request-michigan.png "Form DHS-399 "Foster Care Placement Exception Request" - Michigan")
![Form DHS-721 "Personal Care Services Provider Log" - Michigan](https://data.templateroller.com/pdf_docs_html/1796/17967/1796737/form-dhs-721-personal-care-services-provider-log-michigan.png "Form DHS-721 "Personal Care Services Provider Log" - Michigan")
![Form DHS-18A "Hearing Request Withdrawal" - Michigan](https://data.templateroller.com/pdf_docs_html/1796/17967/1796764/form-dhs-18a-hearing-request-withdrawal-michigan.png "Form DHS-18A "Hearing Request Withdrawal" - Michigan")
![Form DHS-848 "Certification of Translation/Interpretation for Non-english Speaking Applicants or Recipients" - Michigan](https://data.templateroller.com/pdf_docs_html/1796/17967/1796721/form-dhs-848-certification-of-translation-interpretation-for-non-english-speaking-applicants-or-recipients-michigan.png "Form DHS-848 "Certification of Translation/Interpretation for Non-english Speaking Applicants or Recipients" - Michigan")
![Form B-274 "Cytogenetics Report" - Michigan](https://data.templateroller.com/pdf_docs_html/2268/22680/2268065/form-b-274-cytogenetics-report-michigan.png "Form B-274 "Cytogenetics Report" - Michigan")
![Form DCH-0856 "Application to Correct a Michigan Death Record" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22676/2267676/form-dch-0856-application-to-correct-a-michigan-death-record-michigan.png "Form DCH-0856 "Application to Correct a Michigan Death Record" - Michigan")
![Form DCH-0848 "Application to Add a Father on a Michigan Birth Record" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22675/2267538/form-dch-0848-application-to-add-a-father-on-a-michigan-birth-record-michigan.png "Form DCH-0848 "Application to Add a Father on a Michigan Birth Record" - Michigan")
Form DCH-0848 "Application to Add a Father on a Michigan Birth Record" - Michigan
Size: 456 KB
2 pages
![Form DCH-0847 "Application to Correct or Change a Michigan Birth Record" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22675/2267537/form-dch-0847-application-to-correct-or-change-a-michigan-birth-record-michigan.png "Form DCH-0847 "Application to Correct or Change a Michigan Birth Record" - Michigan")
Form DCH-0847 "Application to Correct or Change a Michigan Birth Record" - Michigan
Size: 476 KB
2 pages
![Form DCH-0862 "Physician Application to Correct a Michigan Death Record (For Deaths That Occurred After Jan. 1, 2004)" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22676/2267678/form-dch-0862-physician-application-to-correct-a-michigan-death-record-for-deaths-that-occurred-after-jan-1-2004-michigan.png "Form DCH-0862 "Physician Application to Correct a Michigan Death Record (For Deaths That Occurred After Jan. 1, 2004)" - Michigan")
![Form DCH-0862 "Physician Application to Correct a Michigan Death Record (For Deaths That Occurred Prior to Jan. 1, 2004)" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22676/2267677/form-dch-0862-physician-application-to-correct-a-michigan-death-record-for-deaths-that-occurred-prior-to-jan-1-2004-michigan.png "Form DCH-0862 "Physician Application to Correct a Michigan Death Record (For Deaths That Occurred Prior to Jan. 1, 2004)" - Michigan")
![Form DCH-0768 "Cancer Report Form - Cancer Surveillance Program" - Michigan](https://data.templateroller.com/pdf_docs_html/2268/22680/2268067/form-dch-0768-cancer-report-form-cancer-surveillance-program-michigan.png "Form DCH-0768 "Cancer Report Form - Cancer Surveillance Program" - Michigan")
![Form MDHHS-5916 "Wic Anthropometric and Laboratory Information Request" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22676/2267613/form-mdhhs-5916-wic-anthropometric-and-laboratory-information-request-michigan.png "Form MDHHS-5916 "Wic Anthropometric and Laboratory Information Request" - Michigan")
![Form MDHHS-5913 "Authorization to Release Wic Information" - Michigan (Arabic)](https://data.templateroller.com/pdf_docs_html/2267/22678/2267850/form-mdhhs-5913-authorization-to-release-wic-information-michigan-arabic.png "Form MDHHS-5913 "Authorization to Release Wic Information" - Michigan (Arabic)")
![Form MDHHS-5913 "Authorization to Release Wic Information" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22678/2267849/form-mdhhs-5913-authorization-to-release-wic-information-michigan.png "Form MDHHS-5913 "Authorization to Release Wic Information" - Michigan")
![Form DCH-1326 "Wic Special Formula/Food Request" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22676/2267612/form-dch-1326-wic-special-formula-food-request-michigan.png "Form DCH-1326 "Wic Special Formula/Food Request" - Michigan")
![DCH Form 1402 "Pediatric HIV/AIDS Confidential Case Report Form" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22679/2267960/dch-form-1402-pediatric-hiv-aids-confidential-case-report-form-michigan.png "DCH Form 1402 "Pediatric HIV/AIDS Confidential Case Report Form" - Michigan")
![Form MDHHS-5602 "Payment Request" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22676/2267620/form-mdhhs-5602-payment-request-michigan.png "Form MDHHS-5602 "Payment Request" - Michigan")
![Form DCH-1426 "Application for Health Coverage & Help Paying Costs" - Michigan](https://data.templateroller.com/pdf_docs_html/2049/20495/2049525/form-dch-1426-application-for-health-coverage-help-paying-costs-michigan.png "Form DCH-1426 "Application for Health Coverage & Help Paying Costs" - Michigan")
![Form DHS-1661 "Insurance Assistance Program (Iap) Application" - Michigan](https://data.templateroller.com/pdf_docs_html/2064/20649/2064938/form-dhs-1661-insurance-assistance-program-iap-application-michigan.png "Form DHS-1661 "Insurance Assistance Program (Iap) Application" - Michigan")
![Form EQP5179 "Used Oil Inspection Form - Burn for Energy Recovery" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22673/2267384/form-eqp5179-used-oil-inspection-form-burn-for-energy-recovery-michigan.png "Form EQP5179 "Used Oil Inspection Form - Burn for Energy Recovery" - Michigan")
![Form MDHHS-1171 "Assistance Application" - Michigan](https://data.templateroller.com/pdf_docs_html/2049/20493/2049380/form-mdhhs-1171-assistance-application-michigan.png "Form MDHHS-1171 "Assistance Application" - Michigan")
![Form DHS-4335 "Interstate Compact on the Placement of Children (Icpc) Checklist" - Michigan](https://data.templateroller.com/pdf_docs_html/2027/20278/2027805/form-dhs-4335-interstate-compact-on-the-placement-of-children-icpc-checklist-michigan.png "Form DHS-4335 "Interstate Compact on the Placement of Children (Icpc) Checklist" - Michigan")
![Form MDHHS-5832 "Homeless Vital Document Request for Reimbursement" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22676/2267649/form-mdhhs-5832-homeless-vital-document-request-for-reimbursement-michigan.png "Form MDHHS-5832 "Homeless Vital Document Request for Reimbursement" - Michigan")
![Form DHS-3750 "Expedited Home Study Request" - Michigan](https://data.templateroller.com/pdf_docs_html/2010/20103/2010326/form-dhs-3750-expedited-home-study-request-michigan.png "Form DHS-3750 "Expedited Home Study Request" - Michigan")
![Form DHS-4336 "Placement Prescreening" - Michigan](https://data.templateroller.com/pdf_docs_html/2010/20103/2010327/form-dhs-4336-placement-prescreening-michigan.png "Form DHS-4336 "Placement Prescreening" - Michigan")
![Form DCH-1355 "Michigan Adult HIV Confidential Case Report Form" - Michigan](https://data.templateroller.com/pdf_docs_html/2075/20759/2075992/form-dch-1355-michigan-adult-hiv-confidential-case-report-form-michigan.png "Form DCH-1355 "Michigan Adult HIV Confidential Case Report Form" - Michigan")
![Form DCH-0928 "Lead Safe Home Program Application" - Michigan](https://data.templateroller.com/pdf_docs_html/2381/23815/2381525/form-dch-0928-lead-safe-home-program-application-michigan.png "Form DCH-0928 "Lead Safe Home Program Application" - Michigan")
![Form DHS-3043 "TANF Eligibility Determination" - Michigan](https://data.templateroller.com/pdf_docs_html/2010/20103/2010325/form-dhs-3043-tanf-eligibility-determination-michigan.png "Form DHS-3043 "TANF Eligibility Determination" - Michigan")
![Form DHS-5307 "Rights and Responsibilities for Children and Youth in Foster Care" - Michigan](https://data.templateroller.com/pdf_docs_html/2267/22676/2267608/form-dhs-5307-rights-and-responsibilities-for-children-and-youth-in-foster-care-michigan.png "Form DHS-5307 "Rights and Responsibilities for Children and Youth in Foster Care" - Michigan")
![Form DHS-4820 "Voluntary Release for Adoption of a Surrendered Newborn by Parent" - Michigan](https://data.templateroller.com/pdf_docs_html/2217/22178/2217842/form-dhs-4820-voluntary-release-for-adoption-of-a-surrendered-newborn-by-parent-michigan.png "Form DHS-4820 "Voluntary Release for Adoption of a Surrendered Newborn by Parent" - Michigan")
![Form DCH-1315 "Health Risk Assessment" - Michigan](https://data.templateroller.com/pdf_docs_html/2075/20757/2075707/form-dch-1315-health-risk-assessment-michigan.png "Form DCH-1315 "Health Risk Assessment" - Michigan")
![Form DHS-1514 "Application for State Emergency Relief" - Michigan](https://data.templateroller.com/pdf_docs_html/1820/18200/1820067/form-dhs-1514-application-for-state-emergency-relief-michigan.png "Form DHS-1514 "Application for State Emergency Relief" - Michigan")
![Form DCH-0738 "Notice of Intent to Claim Paternity" - Michigan](https://data.templateroller.com/pdf_docs_html/2143/21438/2143879/form-dch-0738-notice-of-intent-to-claim-paternity-michigan.png "Form DCH-0738 "Notice of Intent to Claim Paternity" - Michigan")
