Michigan Department of Human Services (DHS) Central Registry Clearance
Please fill out SECTION 1- INFORMATION ON PERSON BEING CLEARED. The form needs a live signature in order to be processed by the Department of Human Services. Please print out the form, and then either scan it or take a clear photo of the form and your driver's license.
Submit the completed form and a copy of your driver's license to:
Office of Student Support Services
1355 Bogue Street
C120 Bott Building
East Lansing, MI 48824
Fax: (517) 432-8251