Dcf F Cf S0055 FormUse a Dcf F Cf S0055 template to make your document workflow more streamlined.[Privacy Law, s.15.04(1)(m), Wis. Stats.].
Instructions: The licensee / certified provider shall report any death of a child in care, or any incident or accident that occurs while the child is
in care that results in an injury that requires professional medical treatment. Licensed centers shall notify the department within 48 hours of
becoming aware of the medical treatment. Certified providers shall notify the certifying agency as soon as possible, but no later than the
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