Appendix F: Sample Report of Suspected Child Abuse and Neglect - childwelfare 2025

1. Click ‘Get Form’ to open it in the editor.
2. 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.
3. Fill in the details of the school, including its name, address, and contact number. This helps identify where the child is enrolled.
4. 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.
5. 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.
6. Indicate with whom the child lives and their relationship to them. This section helps clarify living arrangements.
7. Identify any suspected abusers by filling in their details and relationship to the child. This is critical for investigation purposes.
8. Check all applicable boxes indicating types of suspected abuse being reported. Be thorough in your selection to ensure proper categorization.
9. Provide a detailed account of any current injuries or neglect observed, along with previous incidents if applicable. This narrative supports your report significantly.
10. Finally, sign and date your report before distribution to local social services or law enforcement agencies as required.

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