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Get MI BCAL-4605 2016

The department is required by the following licensing rules: Family and Group Child Care Homes R 400.1962(2) Child Care Centers R 400.8158(3) Children's and Adult Foster Care Camps R 400.11127(9) Was the incident phoned to licensing? Yes If yes, date and time? No If no, contact your licensing consultant within 24 hours of the incident. DISTRIBUTION Send original to your licensing consultant and retain a copy for your records. TYPE OF REPORT Incident Accident Illnes.

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