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Intake form for day care service with answer

Daycare intake form 2025

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The document is an Incident Intake Information Form from the Department of Human Services, Office of Residential Child Care. It is designed for reporting incidents involving children in care, including allegations of abuse, serious injuries, and other significant occurrences. The form requires detailed information about the incident, involved parties, and safety measures taken to prevent future incidents. It emphasizes the necessity of notifying Child Protective Services (CPS) for specific allegations and outlines the process for documenting emergency safety interventions.

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Versions	Form popularity	Fillable & printable
2012	4 Satisfied (30 Votes)
2006	4.9 Satisfied (30 Votes)

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