Requestor Information Date County -- Select --AlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaDeSotoDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGladesGulfHamiltonHardeeHendryHernandoHighlandsHillsboroughHolmesIndian RiverJacksonJeffersonLafayetteLakeLeeLeonLevyLibertyMadisonManateeMarionMartinMiami-DadeMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt. JohnsSt. LucieSanta RosaSarasotaSeminoleSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashington LDAP / FSFN # Name Title -- Select --APIAPI Support StaffAPISART/BRAIN TeamCBC/Case ManagementCPICPI Support StaffCPISProgram Administrator/OPAScreener Phone Number Email Intake Details Type of Intake -- Select --AdultChild Intake Number (No Hyphens) Sub Type -- Select --In-homeInstitutionalOther If you have already launched the investigation, have you saved all notes entered? Please note: your current investigation may disappear after your request is completed. -- Select --YESNON/A – No investigation created Feedback Feedback Type -- Select --Change or Update Incorrect Data Entry in FSFN IntakeDelay in Intake AssignmentDiligent Search or No Means to LocateEscalationImmediate Intake AssignmentIntake Information RequestListen to a Call for Additional InformationReport New AllegationsRequest for AttachmentScreen In RequestScreen Out RequestSplit or Merge RequestTechnical Issues Comments Submit