MSHDA - Physical Inspection Forms

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Physical Inspection Forms

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Physical Inspection Forms
These forms are for use in correcting issues found during physical inspections. If there are questions regarding these forms, please call (517) 241-2560 or email our Compliance Monitoring Division.
•	A memo from MSHDA, dated August 30, 2005, introducing process improvements and revised forms for Owner/Management Agent responses to physical inspections. Changes in procedures and new forms are effective for physical inspecitons conducted on or after September 1, 2005: MSHDA Memo
•	Owners Certification of Completion of Repairs (pdf)
	Owners Certification of Completion of Repairs (Microsoft Word)
•	Owners Certification Attachment A (pdf) Updated 03/06/2008
	Owners Certification Attachment A (Microsoft Word) Updated 03/06/2008
•	Instructions for completion of the Owners Certificate and Attachment A