STATE OF MICHIGAN

DEPARTMENT OF HUMAN SERVICES OAKLAND COUNTY CSA

RICK SNYDER
GOVERNOR

MAURA CORRIGAN
DIRECTOR

03-08-2013

I
AMBER KOWALSKI 2959 BUCKNER RD LAKE ORION MI 48362

Dear

AMBER

KOWALSKI Central Registry (CNNR) clearance

This letter is in response to your request for a Child Abuse/Neglect to be performed.

This clearance has been performed by the Michigan Department of Human Services concerning AMBER KOWALSKI .The results of this clearance indicate that as of 03/08/2013 the following results should be noted: (Check only one bOX). ~ There is no record of AMBER KOWALSKI as being identified as a perpetrator of child abuse Central Registry system as of the date of the inquiry.

and/or neglect on the Child Abuse/Neglect

o
listing originated in

is listed as a perpetrator of child abuse and/or neglect. This County on (date)

To request amendment or removal of your name from the Child Abuse/Neglect Central Registry you must make a request in writing to the county that originated the listing. If you have further questions regarding your case, please contact the local DHS office that originated the listing at

Additional information is needed in order to complete a clearance. Please provide the following information: Name(s) and date(s) of birth of your children Previous addresses Other

o o o

This information is confidential as described in the Michigan Child Protection Law and may only be shared with those outlined in the Child Protection Law (MCL 722.627 - 722.627j). Sincerely, Printed Name: Phone Number: Fax Number: Address: City, State Zip: DAWN DANDY 248 975 5400 248 975 5550 51111 Woodward Ave Pontiac, MI 48342

Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area. DHS-1910 (Rev. 1-09) Previous edition obsolete. MS Word