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-up all telephone reports to Child Protective Services (CPS) with a written statement within seventy-two (72) hours, A.R.S. 13-3620. Completing this form fulfills the written requirement for mandated reporting sources. Reports made in good faith are immune from civil or criminal liability. Mail to: Child Abuse Hotline, P.O. Box 44240, Phoenix, AZ 85064-4240. To report child abuse, call the Hotline at 1-888-767-2445. DATE REPORTED TO CPS CHILD ABUSE HOTLINE TIME REPORTED REPORTING SOURCE S.

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