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Provider Service Logs (Sample Forms) 660-05-65-95

(Revised 1/1/09 ML 3174)

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As a part of the Adult Family Foster Care licensing process, applicants are required to provide examples of service logs that will be used to account for service time and tasks performed.

 

A provider may create their own service log provided it meets the standards for accounting of services provided.

 

An example service log must be completed by the applicant and kept in the provider’s file. A copy must be sent to the Regional Human Service Center office for their records.

 

These forms may be duplicated.

 

 

 

 

 

 

 

 

 

 

 

 

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