CCL-3731 PDF Details

A blank field, a strikethrough, or “N/A” are not acceptable responses.

Emergency contacts: list all individuals, including parents/legal guardians, in order of preference, to be contacted in an emergency.

Another contact: if possible, include at least one person other than the parents/legal guardians to be contacted in an emergency and to whom the child can be released.

Second phone: the second phone number column can be left blank.

Release of child only: list all individuals, other than the parents or legal guardians, to whom the child may be released.

Previous editions: 3-22, 6-24, and 5-26 may be used.

QuestionAnswer
Form Name CCL-3731
Form Length 1 page
Fillable? Yes
Fillable fields 57
Avg. time to fill out 10 min
Other names CCL-3731, CCL 3731, CCL3731, Form CCL-3731, Child Information Record
Edition7-26
Issuing agencyMichigan Department of Lifelong Education, Advancement, and Potential, Child Care Licensing
Who signsParent or Guardian
Official sourceCCL-3731 (Rev 7-26), Michigan Department of Lifelong Education, Advancement, and Potential

Please rate Form Bcal 3731 Rev. 7-26

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