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Real property law / Federal assistance in the United States / Healthcare reform in the United States / Presidency of Lyndon B. Johnson / Medicine / Medicaid / Probate / Nursing home / Concurrent estate / Law / Private law / Inheritance


Michigan Department of Community Health Michigan Estate Recovery Questionnaire Instructions: (Print or typewritten) Complete each section and sign at the end of this form.
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Document Date: 2014-06-26 16:33:19

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City

Lansing / /

Facility

Homestead Address / /

IndustryTerm

bank statement / bank accounts / bank statements / /

Organization

County Probate Court / Social Security Administration / Michigan Department of Community Health Michigan Estate Recovery Questionnaire Instructions / County Court / Michigan Department of Community Health / TPL Division / Medicaid / /

Person

Completing / /

/

Position

physician / Attorney / driver / Representative / /

ProvinceOrState

Michigan / /

SocialTag