Feedback/Comments Regarding a Specific AFC/HFA

This comment page is being provided as an opportunity for you to express any compliments, comments or questions to the Department regarding a specific licensed facility. If you have a complaint, please complete our Online Complaint Form or call 1-866-856-0126.

In order to ensure that the correct licensing consultant/staff receives your comments, we need the following identifying information:

* Name of Facility: Facility License Number, if known: Address of Facility: If you need to look up identifying information about the facility, use our Online Lookup for Adult Foster Care/Homes for the Aged Facilities.   Are you a: Select one Resident Resident's Family Member/Guardian/Designated Rep./Authorized Rep. Responsible Agency Health Care Provider Staff of Licensed Facility Other (please describe below) Other, please describe: Your Name: If you do not include a phone number or email address in the form below, the Michigan Department of Human Services will NOT be able to contact you in return: Email Address or Phone Number: * Comments:               * Required * Spam Block: (What's this?) Add nine plus five and type the answer here: