ࡱ>  @ D\bjbj H (jjjjjjj~F6F6F68WzzD~I~6V;V;V;V;1<<ta=<eHIIIIII$JRM(I]j=1<1<==(IjjV;V;IAAA=jV;jV;eHA=eHAAjjAV;/| Uu {F6="AIBI0IAM=MA~~jjjjMjA==A=====(I(I~~b A~~b RELATIVE SEARCH INFORMATIONMichigan Department of Human ServicesName of relative Completing Form: FORMTEXT      Child s Name: FORMTEXT      PLEASE PROVIDE NAMES AND ADDRESSES OF OTHER RELATIVES WHO MAY HAVE AN INTEREST IN BEING A RESOURCE.1. Relative InformationRelationship to Child FORMTEXT       FORMCHECKBOX Maternal FORMCHECKBOX PaternalName:American IndianIf Yes Tribe: FORMTEXT       FORMCHECKBOX YES FORMCHECKBOX NO FORMTEXT      Street: FORMTEXT      City:State:Zip CodeCountry: FORMTEXT       FORMTEXT    FORMTEXT       FORMTEXT      Home PhoneWork Phone( FORMTEXT    )  FORMTEXT        FORMTEXT      ( FORMTEXT    )  FORMTEXT        FORMTEXT      2. Relative InformationRelationship to Child FORMTEXT       FORMCHECKBOX Maternal FORMCHECKBOX PaternalName:American IndianIf Yes Tribe: FORMTEXT       FORMCHECKBOX YES FORMCHECKBOX NO FORMTEXT      Street: FORMTEXT      City:State:Zip CodeCountry: FORMTEXT       FORMTEXT    FORMTEXT       FORMTEXT      Home PhoneWork Phone( FORMTEXT    )  FORMTEXT        FORMTEXT      ( FORMTEXT    )  FORMTEXT        FORMTEXT      3. Relative InformationRelationship to Child FORMTEXT       FORMCHECKBOX Maternal FORMCHECKBOX PaternalName:American IndianIf Yes Tribe: FORMTEXT       FORMCHECKBOX YES FORMCHECK:  0 2 4 > @ D  @ n p   񩥝Н|ohz;CJ KH \^JaJ jhO$Uj6hO$Ujhz;Ujhz;Uhz;h+hMPhMP\hMPhMP6>*\ hMP\jhMPUjhO$UmHnHujhMPUjhMPUhMP h`h`h`+8:eUd`$If^gdI <kd^$$Ifl4y,y,4 lalf4dL$Ifgdz;<kd$$Ifl4y,y,4 lalf4d$Ifgdbm \\BuedL$Ifgdz;<kd$$Ifl4y,y,4 lalf4dL$Ifgdz;<kd$$Ifl4py,y,4 lalf4  B uedL$Ifgdz;<kd\$$Ifl4y,y,4 lalf4dL$Ifgdz;<kd$$Ifl4y,y,4 lalf4B D  > +wg d$$Ifgdz;<kd$$Ifl4y,y,4 lalf4 $($Ifa$gdI <kd6$$Ifl4y,y,4 lalf4> @ l n q]H$d$$If^a$gdad$$If^gdz;<kdZ$$Ifl4y,y,4 lalf4dL$If^gdz;<kd$$Ifl4y,y,4 lalf4    0 M==dL$Ifgdkd$$Ifl4r t"R&(y, e4 lalf4$d$$If^a$gdad$$If^gdz; . 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Relative InformationRelationship to Child FORMTEXT       FORMCHECKBOX Maternal FORMCHECKBOX PaternalName:American IndianIf Yes Tribe: FORMTEXT       FORMCHECKBOX YES FORMCHECKBOX NO FORMTEXT      Street: FORMTEXT      City:State:Zip CodeCountry: FORMTEXT       FORMTEXT    FORMTEXT       FORMTEXT      Home PhoneWork Phone( FORMTEXT    )  FORMTEXT        FORMTEXT      ( FORMTEXT    )  FORMTEXT        FORMTEXT      Please return this form to the local office as soon as possible.Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area. 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MYINFO.ini DB@tUserInfoPhone P!\ MYINFO.ini DB@tUserInfoYourExt P!& MYINFO.ini DB@tUserInfoFaxAC P!( MYINFO.ini DB@txUserInfoFax P!* MYINFO.ini DB@tUserInfoOffice P!^ MYINFO.ini DB@tpUserInfoAddress P!` MYINFO.ini DB@tUserInfoCity P!b MYINFO.ini DB@tUserInfoState P!d MYINFO.ini DB@toUserInfoZip P!f MYINFO.ini DB@tUserInfoCO P!h MYINFO.ini DB@tHUserInfoDI P!j MYINFO.ini DB@tmeeUserInfoSEC P!l MYINFO.ini DB@tUserInfoUN P!n MYINFO.ini DB@t@UserInfoWKR P!p MYINFO.ini DB@teeUserInfo Boss Name P!@ MYINFO.ini DB@tUserInfo Boss Title P!B MYINFO.ini DB@tmenGet user info from INI fileUserInfoName MYINFO.ini D%X' UserInfoTitle MYINFO.ini D%X' UserInfoAreaCode MYINFO.ini D%X' "UserInfoPhone MYINFO.ini D%X' $UserInfoYourExt MYINFO.ini D%X' &UserInfoFaxAC MYINFO.ini D%X' (UserInfoFax MYINFO.ini D%X' *UserInfoOffice MYINFO.ini D%X' ,UserInfoAddress MYINFO.ini D%X' .UserInfoCity MYINFO.ini D%X' 0UserInfoState MYINFO.ini D%X' 2UserInfoZip MYINFO.ini D%X' 4UserInfoCO MYINFO.ini D%X' 6UserInfoDI MYINFO.ini D%X' 8UserInfoSEC MYINFO.ini D%X' :UserInfoUN MYINFO.ini D%X' <UserInfoWKR MYINFO.ini D%X' >UserInfo Boss Name MYINFO.ini D%X' @UserInfo Boss Title MYINFO.ini D%X' B Update Form with user info WorkerName D%vG workerName  DB@xj WorkerTitle D%vG WorkerTitle  DB@xjWorkerAreaCode D%vGWorkerAreaCode " DB@xj WorkerPhone D%vG WorkerPhone $ DB@xjWorkerExtension D%vGWorkerExtension & DB@xjFaxAC D%vGFaxAC ( DB@xj WorkerFax D%vG WorkerFax * DB@xj Countynumber D%vG Countynumber 6 DB@xjDistrict D%vGDIstrict 8 DB@xjSection D%vGSECtion : DB@xjUnit D%vGUNit < DB@xjWorker D%vGWorker > DB@xjBit CountyName D%vG CountyName , DB@xj CoAddress D%vG CoAddress . DB@xjCoCity D%vGCoCity 0 DB@xjCoState D%vGCoState 2 DB@xjCoZip D%vGCoZip 4 DB@xjSupervisorName D%vGSupervisorName @ DB@xjSupervisorTitle D%vGSupervisorTitle B DB@xj. Update other Form Fields on Form & Exit Macro- Selected$=GetFormResult$ ("CurrentDate")! TheSerialDate = Today() + 14$ TheDate$ = Date$(TheSerialDate)& SetFormResult "DueDate", TheDate$) EditGoTo "CreateDate" : UnlinkFields EditGoTo "GranteefirstName"- ToolsProtectDocument .NoReset = 1, .Type = 2/ ToolsProtectSection .Section = 2, .Protect = 0d FileClose 2 SelectName = - 1mkpoh`(Attribute VB_Name = "MyInfo" Public Sub Main(X) D.nDescription|Enter Personal rma:zProcDataIInvoke _FuncINoi8l..nADim iRet B  User$ATitleAreaCod-PhonYourExtFax|AC Offic $AddressCitByStat Zip ODILSEB;UN WKRBoss|| 'DEFINE DIALOG BOX WordBasic.BeginDialog 582, 300,} G TextBox 109@ A 5@ 18@ I @ey 56 * 83 _[ 105WDi 2A3321A5r 34 _  | 9 7 @ 1$55E [1 Pi 23` 6i`cV3jFAXAC41e lV1@,CO629 *DI7m pV? UN6z4!l1.yVm23n`~64`'Fz7,, c3z#the followin`g infa@bout ys0elf. ", ׂ !:w5f"bC #1z0@8O$351{1A-ST- u5 abm3r13@? gY  ;"C O-DI-T-U,N-@H47224*; supervisor!a 124f6p6iOKButtY48 8pR21 fCanctel3kEndn ҂dlg!u! As Object: Se$t = CurValues. vGET USER INFO FROMI FILE AND@ PUT I NTOzx.t[GetPrivfileS@@ng$](" "'P:qMY.ini"r hl ? pa"4??>? Mpn_1r &.nAC `axU/-Y??>OMA\C$$a&gp Op | DIpp/-UN0 | {p y QaserInfo", "Boss Name`MYINFO.ini") dlgU.Title = WordBasic.[GetPrivateProfileString$]("t| 'DISPLAY DIALOG BOX AND RESPOTO USER INPUT iRet Dialog.p (If 3-1 Then 'OK BUTTON ?WRI@TE NEW3FO6I FILE xSx wYour ?, - -AreaCod|PhonEExtE@FaxACL+@OfficZ|Address0$ L+gCity ? : |StP  z Zo%  CoCity  ! CoStat$c b CoZip  "Supervi8sor<`, Boss! /Titl% b ' Upd. other  FieldsH on& t Macro Rem" SelA}ed$=G$ ("Curre8ntD9'`Serial = Today() + 14$5()lDure",a"GEditGoTo 0"Cre : Unlink'Grante@efirst3"ToolsProtDocum! .No@et`1, .Type@2/ .8= 2 `0 Else#FileClose D c.@- 1$nd #Sub (SLSS<N0{00020906-0000-0000-C000-000000000046}8(%HxAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2as  *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#8.2#0#C:\Program Files\Microsoft Office\Office10\MSWORD.OLB#Microsoft Word 10.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINDOWS\System32\stdole2.tlb#OLE Automation*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\WINDOWS\system32\FM20.DLL#Microsoft Forms 2.0 Object Library*\G{5926339E-587D-441B-9117-6D844445226A}#2.0#0#C:\TEMP\VBE\MSForms.EXD#Microsoft Forms 2.0 Object Library.E .`M &*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.2#0#C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLL#Microsoft Office 8.0 Object Library  AB?5ThisDocument0l4ab0fb19ThisDocument5% MyInfo0m4ab0fb19 MyInfouM'8|SJen~N;+FAH=>0-WordkVBAWin16~Win32MacVBA6#TemplateProjectEstdole`MSFormsCOfficeu ThisDocument< _EvaluateMyInfo@Main,iRet,pUserName\ UserTitleV9AreaCode UserPhoneYourExthLFaxACjYourFaxrN UserOffice0 UserAddressFUserCity UserStateUserZipDUserCOUserDIUserSEC4UserUN0UserWKR,BossNamef BossTitleH WordBasic BeginDialogFTextBoxQOKButton| CancelButton EndDialogmP dlgUserInfo2" CurValuesȤ UserDialogYourName;RGetPrivateProfileString$x YourTitleA# YourPhone YourOffice YourAddressYourCity YourStateYourZipYourCOYourDIYourSECvYourUNVYourWKRnDialogfSetPrivateProfileString=ExistingBookmark SetFormResultDocumentj`   $ID="{D6DCBB89-E2F4-48EA-A1D2-DFBB5DC7CDA1}" Document=ThisDocument/&H00000000 Module=MyInfo Name="TemplateProject" HelpContextID="0" VersionCompatible32="393222000" CMG="3D3F5A10A6C2AAC2AAC2AAC2AA" DPB="F3F194EE4BEF4BEF4B" GC="A9ABCE13CF13CFEC" [PROJECT TPROJECTwm[>CompObj\jHost Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 [Workspace] ThisDocument=0, 0, 0, 0, C MyInfo=0, 0, 0, 0, C ThisDocumentThisDocumentMyInfoMyInfo  FMicrosoft Word Document MSWordDocWord.Document.89q @ Bbjbj M^"M^"ooooo p-pyWzWzzD pֆ;|d.̓Q=??????$̇Rc-ocoooo==oout/| Uu {-p1 0ֆ p pooooocc p p$-p p p-p FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEfhvxzƐȐʐސ(*8:<PRTZ\^`tvđjFhYqUjFhYqUjhYqUmHnHujZEhYqUjDhYqUjChYqUj.ChYqUjBhYqUjAhYqUhYqjhYqUj9AhYqU/đƑԑ֑ؑ "68FHJ^`bfhjlВҒԒؒ轸xmxjKhYqUjhYqUmHnHujKhYqUjkJhYqUjhYq5UmHnHujIhYq5U hYq5jhYq5Uj0IhYqUjmHhYqUjGhYqUhYqjhYqUj2GhYqU*֑ Hjܒ(Pxȓ@hڜ*L]\[ZYXWVUTSRQPOkNMLKJIHGؒڒܒޒ$&(*>@NPRfhvxzƓȓʓޓ ~jVQhYqUUjPhYqUjOhYqUj OhYqUjCNhYqUjpMhYqUjhYqUmHnHujLhYqUjUmHnHujLU jUhYqjhYqU1XT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       .0>@BVXfhj~Ȝʜ؜ڜܜ(*,@BDHJLNbdflnprjVhYqUjhYqUmHnHujEVhYqUjUhYqUj>UhYqUjThYqUjShYqUjRShYqUjRhYqUjRhYqUjhYqUhYq3Lp ,PxȞ@Bjihgfedcba`_^r֝؝ "$(*,.BDFLNPRfhvxzƞȞʞj\hYqUjJ\hYqUj[hYqUjZhYqUj>ZhYqUjhYqUmHnHujYhYqUjYhYqUjaXhYqUjhYqUjWhYqUhYq3ʞޞ.02<>Bj^hYqUj^hYqUjhYqUmHnHujhYqUj>]hYqUhYq/ =!"#$%ercasedEnter the Addressee's mail address (street address, PO Box, etc., where the mail will be delivered). ClientCityDBureau#Enter your Bureau/Office/Unit name.DCareOf UppercaseUEnter the Addressee's Supplemental Address (Example: Suite or Apartment Number, C/O)Address1D CaseNumber Uppercase/Enter the Case Number (Example: V1234567A,B,C)D ClientCity UppercaseEnter the Addressee's City. ClientStateD ClientState Uppercase1Enter the Addressee's 2 digit State Abbreviation. ClientZipD ClientZip UppercaseKEnter the Addressee's Zip Code (+4 if known) (Example: 48909 or 48909-7537)D CoAddress UppercaseaEnter the County's mail address (street address, PO Box, etc., where the mail will be delivered).D CoAreaCodeEnter the County's Area CodeDCoCity UppercaseEnter the County's City.D CoExtensiond8(OJQJ_HmH sH tH XOX CaseNumber1?d8(OJQJ_HmH sH tH XOX ClientCity1@d8(OJQJ_HmH sH tH ZOZ ClientState1Ad8(OJQJ_HmH sH tH ZO"Z ClientZip1BdtCJOJQJ_HmH sH tH VO2V CoAddress1Cd8(OJQJ_HmH sH tH XOBX CoAreaCode1 Dd`CJOJQJ_HmH sH tH PORP CoCity1Ed8(OJQJ_HmH sH tH ZObZ CoExtension1Fd8(OJQJ_HmH sH tH ^Or^ CoPhoneNumber1Gd8(OJQJ_HmH sH tH ROR CoState1Hd8(OJQJ_HmH sH tH ^O^ CoSuppaddress1Id8(OJQJ_HmH sH tH XOX CountyName1Jd8(OJQJ_HmH sH tH \O\ CountyNumber1 Kd`CJOJQJ_HmH sH tH ROR CoZip1LdtCJOJQJ_HmH sH tH NON Date11 Md`CJOJQJ_HmH sH tH TOT District2 Nd`CJOJQJ_HmH sH tH LOL FaxAC Od`CJOJQJ_HmH sH tH VOV FirstName1Pd8(OJQJ_HmH sH tH XOX FirstName21Qd8(OJQJ_HmH sH tH `O"` GranteeAddress1 Rd`CJOJQJ_HmH sH tH \O2\ GranteeCareof Sd`CJOJQJ_HmH sH tH XOBX GranteeCity Td`CJOJQJ_HmH sH tH `OR` GranteeClientID Ud`CJOJQJ_HmH sH tH dObd GranteeFirstName2 Vd`CJOJQJ_HmH sH tH bOrb GranteeLastName1Wd8(OJQJ_HmH sH tH ZOZ GranteeState Xd`CJOJQJ_HmH sH tH VOV GranteeZip Yd`CJOJQJ_HmH sH tH TOT LastName1Zd8(OJQJ_HmH sH tH VOV LastName21[d8(OJQJ_HmH sH tH ROR OtherID1\d8(OJQJ_HmH sH tH ROR Section2 ]d`CJOJQJ_HmH sH tH ^O^ SuperAreaCode1 ^d`CJOJQJ_HmH sH tH `O` SuperExtension1_d8(OJQJ_HmH sH tH dOd SuperPhoneNumber1`d8(OJQJ_HmH sH tH `O` SupervisorName1ad8(OJQJ_HmH sH tH LO"L Unit2 bd`CJOJQJ_HmH sH tH PO2P Worker2 cd`CJOJQJ_HmH sH tH `OB` WorkerAreaCode1 dd`CJOJQJ_HmH sH tH bORb WorkerExtension1ed8(OJQJ_HmH sH tH TObT WorkerFax fd`CJOJQJ_HmH sH tH XOrX WorkerName1gd8(OJQJ_HmH sH tH \O\ WorkerName2hd8(5OJQJ_HmH sH tH ZOZ WorkerPhone1id8(OJQJ_HmH sH tH ^O^ WorkerTitle1jd8(5OJQJ_HmH sH tH LOL Emailkd8(OJQJ_HmH sH tH @0H0Address1BureauCareOf CaseNumber ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumber CoState CoSuppaddress CountyName CountyNumberCoZipDate1DistrictEmail/FaxAC FirstName FirstName2GranteeAddress1 GranteeCareof GranteeCityGranteeClientIDGranteeFirstNameGranteeLastName GranteeState GranteeZipLastName LastName2OtherID Section! SuperAreaCode"SuperExtension#SuperPhoneNumber$SupervisorName%Unit&Worker'WorkerAreaCode(WorkerExtension) WorkerFax* WorkerName+ WorkerName2, WorkerPhone- WorkerTitle.0Address1BureauCareOf CaseNumber ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumberCoState CoSuppaddress CountyName CountyNumberCoZipDate1DistrictFaxAC FirstName FirstName2GranteeAddress1 GranteeCareof GranteeCityGranteeClientIDGranteeFirstName1GranteeLastName GranteeState GranteeZipLastName LastName2OtherIDSection SuperAreaCodeSuperExtensionSuperPhoneNumberSupervisorNameUnitWorkerWorkerAreaCodeWorkerExtension WorkerFax WorkerName WorkerName2 WorkerPhone WorkerTitleUser Input 10pt(<Pdu$5I]n  4EYm(<Pdx r r@RS UtVXfđؒrʞB "%/47<?JKMPRSB > 0  p < bT*0`x@ABLQB  &(4:<HNP\bdpsu"$035AGIU[]ilnz   ,24@CEQWYekmy"&(4:<HNP\bdpvxFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF0Address1BureauCareOf CaseNumber ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumberCoState CoSuppaddress CountyName CountyNumberCoZipdate1DistrictEmailFaxAC FirstName FirstName2GranteeAddress1 GranteeCareOf GranteeCityGranteeClientIDGranteeFirstNameGranteeLastName GranteeState GranteeZipLastName LastName2OtherIDSection SuperAreaCodeSuperExtensionSuperPhoneNumberSupervisorNameUnitWorkerWorkerAreaCodeWorkerExtension WorkerFax WorkerName WorkerName2 WorkerPhone WorkerTitle)=Qev%6J^o !5FZn)=Qey  !"#$%&'()*+,-./';Oct#4H\m 3DXl';OcwYq@|M>#(@@@UnknownG: Times New Roman5Symbol3& : Arial?5 z Courier New"h0@?Yq