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KidsFirst Services Request Form
A variety of free and low cost programs are available to qualifying individuals through KidsFirst. Please complete the form below and click submit at the bottom of this page.  
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If making a referral for someone other than yourself, please complete this section so that you may be contacted

REQUIRED, PLEASE COMPLETE:

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The commercial sexual exploitation of children (CSEC) is the sexual abuse or exploitation of a child, for the financial benefit of any person, or in exchange for anything of value, including monetary and non-monetary benefits. All commercially sexually exploited minors are victims, regardless of the presence of force, fraud, or coercion.

FOR MDIC/DA's OFFICE ONLY