CA/N – (Investigations, Assessments, Referrals)	Page of
Incident/ Case #	Report Conclusion - Case Opened	Report Date	Report Type	Victim/Child	Alleged Perpetrator/Name Relationship to Child*	Allegations	Worker’s Finding/Brief Summary
FCS
Case #	Case Name	Date(s) of Service	Status	Observations/Comments
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IIS
Case #	Case Name	Date(s) of Service	Status	Observations/Comments
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AC
Case #	Child(ren)s Name	Date(s) of Service	Status	Observations/Comments
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