Department of Civil Rights

Official Website: http://www.michigan.gov

Forms & Documents

Browse all Department of Civil Rights forms

1 - 20 of 98 forms

Form Title Topics
Adoption Facilitator Clearing House Record, DHS-4746
Adult Former Sibling Statement to Release Information to Adult Adoptee - DHS-1917
Adult Services Application - DHS-390 PDF icon
Affidavit of Parentage - DCH-0682 PDF icon
American Indian/Alaska Native (AI/AN) Court Hearing Notification DHS-120
American Indian/Alaska Native Child Ancestry Verification MDHHS-5598 DOC icon
American Indian/Alaska Native Child Welfare Cultural Plan DHS-120-C DOC icon
American Indian/Alaska Native Descendant Child Welfare Case Notification DHS-121-A
Annual Business Plan MDHHS-5763
Application for State Emergency Relief - DHS-1514
Application for State Emergency Relief - DHS-1514 PDF icon
Application for State Emergency Relief - DHS-1514-SP PDF icon
Asistencia Federal Temporal a Familias Necesitadas (TANF) Determinación de Elegibilidad - DHS-3043-SP
Asset Declaration Patient and Spouse - DHS-4574-B PDF icon
Asset Declaration Patient and Spouse - DHS-4574-B PDF icon
Authorization to Disclose Protected Health Information - DCH-1183
Camper Management Manual - OCAL PUB-31 PDF icon
Card Address Change Form - NSP-0938-B PDF icon
Central Registry Clearance Request - DHS-1929 DOT icon
Certification of Translation for Non-English Speaking Applicants or Recipients - DHS-848

Contact Information & Office Locations

All 5 contact points

Detroit Executive Office

Address:
Cadillac Place
3054 West Grand Boulevard
Suite 3-600
Detroit, MI 48202

Phone numbers:
  • (313) 456-3700
Fax numbers:
  • (313) 456-3791

Detroit Service Center - Cadillac Place

Address:
3054 West Grand Boulevard
Suite 3-600
Detroit, MI 48202

Phone numbers:
  • (313) 456-3700
  • (800) 482-3604 (Toll-Free)
  • (877) 878-8464 (TTY)
Fax numbers:
  • 313-456-3701
Emails:
  • MDCRServiceCenter@michigan.gov

Division on Deaf, DeafBlind and Hard of Hearing

Address:
Cadillac Place
3054 W. Grand Boulevard
Suite 3-600
Detroit, MI 48202

Phone numbers:
  • (313) 437-7035 (VP)
  • (313) 437-7035 (Toll-Free Voice/TTY)
Fax numbers:
  • (313) 456-3721
Emails:
  • DODDBHH@Michigan.gov

Grand Rapids Office

Address:
State Office Building
350 Ottawa, N.W.
4th Floor
Grand Rapids, MI 49503

Phone numbers:
  • (616) 356-0380
  • (616) 356-0391 (TYY)
Fax numbers:
  • (616) 356-0399

Lansing Office

Address:
Capitol Tower Building
110 West Michigan Avenue
Suite 800
Lansing, MI 48933

Phone numbers:
  • 517-335-3165
  • (517) 241-1965 (TYY)
Fax numbers:
  • (517) 241-0546
Emails:
  • MDCR-INFO@michigan.gov

Questions About This Agency?
Ask An Expert For Help:

Questions and comments are moderated. Minimum of 10 characters.

Login or sign up to submit questions