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Printable Form 8546 Grand Rapids Michigan: What You Should Know

The signature on this form will grant permission for the county to issue a certificate to the named individual to clear the Individual's name and to be added to your county file. If you want to have the name of the county clear, you must be an eligible voter in Michigan. You may send your application through mail to: STATE OF MICHIGAN Office of Voter Registration and Elections 1201 N. State St. Ann Arbor, MI 48109 If you do not have a driver's license, you must apply for an ID with your Michigan voter identification documents. SURVEY FOR PERSONAL ASSISTANCE IN EMANCIPATION MICHIGAN DIVISION OF SOCIAL SERVICES 521 South Washington Street SE Dearborn, MI 48126 Phone: Empire County (Bethany Home Department) Contact: Brenda Bourgeois, Director The agency staff is ready to address the issues of welfare eligibility for those who are eligible and/or receiving assistance. Contact Brenda Bourgeois, Director at. Frequently Asked Questions Please contact us regarding any questions you may have on this program: Phone:: FAX:: E-Mail:. The following documents may contain personal information that identifies you as a federal or state recipient of social services and/or assistance. If you have received or are receiving any of these documents, please advise us as soon as possible so that some action can be taken to protect the confidentiality of your confidential information. Eligibility determination : The first piece of information necessary to determine eligibility for social services is your name and an indication of the type of assistance to which you (the applicant) are being or will be provided. We ask for this in order to ensure efficient service to applicants because all assistance depends to a certain extent on the information that we receive from applicants. (See Who is my Social Service Agency?”) Please be advised that social services recipients may be screened, limited or excluded from social services if the information that we need to assist you is unavailable or inaccurate.

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