CPS / Social Worker Contact Log PDF

Keep a dated record of every call, email, text, or meeting with CPS or a social worker, including next steps and follow-up dates.

Household and case details

Use this form to track CPS or social worker contacts in one log.

Parent/guardian name

Household address

Phone or email (optional)

Jurisdiction (optional)

Case or file number (optional)

Add each call, visit, or email with a CPS worker or agency.

Date

Worker name

Agency

Contact method

Case/file number (optional)

Child names

Topic

Summary

Documents shared (optional)

Next steps (optional)

Follow-up date (optional)

Notes (optional)

Download the PDF to keep your CPS contact log organized.

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