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REPORT OF ACTUAL OR SUSPECTED CHILD ABUSE OR NEGLECT Michigan Department of Human Services Was complaint phoned to DHS? Yes No If yes, Log # 0123456 If no, contact Centralized Intake (8554443911)
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Start by entering the date and time of each activity or event in the log.
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Provide a brief description of the activity or event. Be specific and concise.
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Include any relevant details such as the location, parties involved, and any actions taken.
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