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Appendix F: Sample Report of Suspected Child Abuse and Neglect - childwelfare 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the date of your call and the name of the person you spoke with regarding the suspected abuse. This information is crucial for documentation.
- Fill in the details of the school, including its name, address, and contact number. This helps identify where the child is enrolled.
- Complete the child's personal information, including their last name, first name, age, birth date, and address. Ensure accuracy as this identifies the child involved.
- Document information about the person(s) responsible for the child's care. Include their names, addresses, and contact numbers to provide context on who is caring for the child.
- Indicate with whom the child lives and their relationship to them. This section helps clarify living arrangements.
- Identify any suspected abusers by filling in their details and relationship to the child. This is critical for investigation purposes.
- Check all applicable boxes indicating types of suspected abuse being reported. Be thorough in your selection to ensure proper categorization.
- Provide a detailed account of any current injuries or neglect observed, along with previous incidents if applicable. This narrative supports your report significantly.
- Finally, sign and date your report before distribution to local social services or law enforcement agencies as required.
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