(1) Name, age, sex, race, social security number, if known, and birthdate of the child alleged to have been abused;
(2) Name, age, sex, race, social security number, and birthdate of the parents, custodian, or caretaker of the child alleged to have been abused, if known;
(3) Name, age, sex, race, social security number, and birthdate of the person who committed the substantiated case; and
(4) A summary of the known details of the child abuse which at a minimum shall contain the classification of the abuse as provided in paragraph (4) of subsection (b) of Code Section 19-7-5 as either sexual abuse, physical abuse, child neglect, or a combination thereof.