Report Abuse |

If you suspect abuse or neglect, call 855-444-3911 any time day or night. This toll-free phone number allows you to report abuse or neglect of any child or adult to the Michigan Department of Human Services.

If you are a Child Protective Service worker or a member of Law Enforcement, please fill out the form below and someone will respond to you within 24 hours. If it is an emergency, please call our office to schedule at 989-723-5877.

* Required

Child's Information

First Name: *

This is a required question

Last Name: *

This is a required question

Address:

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City:

This is a required question

Zip

This is a required question

Date of Birth *

Alleged Perpetrator's Information

First Name: *

This is a required question

Last Name: *

This is a required question

Date of Birth *

Relation to Child *

This is a required question

Non-offending Caregiver's Information

First Name:

This is a required question

Last Name:

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Contact Number

This is a required question

Relation to Child

This is a required question

Referral Information

Referral Name: *

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Referring Agency *

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DIRECT Phone Line Where You Can Be Contacted: *

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Referral Email:

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Time frame/availability for interview: *

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Brief description of allegations: *

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