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Print Form STATE OF ALABAMA DEPARTMENT OF HUMAN RESOURCES WRITTEN REPORT OF SUSPECTED CHILD ABUSE/NEGLECT Please print or type all known information. The Child Abuse/Neglect Reporting Law and instructions are explained on the back of this form. SECTION I CHILDREN ALLEGEDLY ABUSED OR NEGLECTED NAME First Middle Initial Last SEX ETHNICITY DATE OF BIRTH/AGE M F ADDRESS Street Address City State Zip Telephone Number...
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alabama form 1593
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