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Request for Public Record

  1. Describe the public record(s) as specifically as possible.

  2. Please check if you would like

  3. Check if Applicable

    I am a designated agent for the nonprofit organization making this FOIA request. This request is made directly on behalf of the organization or its clients and is made for a reason wholly consistent with the mission and provisions of those laws under Section 931 of the Mental Health Code, 1974 PA 258, MCL 330.1931. (Must fill out Waiver of Costs)

  4. Check if Applicable

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  6. This field is not part of the form submission.