CHILD ABUSE & NEGLECT REPORT FORM 2025

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A report is required when a mandated person is acting in an official or professional capacity and knows or suspects that a child under age 18 or a person under age 21 with a developmental disability or physical impairment has suffered or faces a threat of suffering any physical or mental wound, injury, disability, or
Anyone can report suspected child abuse or neglect. Reporting abuse or neglect can protect a child and get help for a family, and it may even save a childs life. In some states, any person who suspects child abuse or neglect is required to report it.
any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, sexual abuse or exploitation (including sexual abuse as determined under section 111), or an act or failure to act which presents an imminent risk of serious harm.
DHS-3200, Report of Actual or Suspected Child Abuse or Neglect. Was complaint phoned to DHS? INSTRUCTIONS: REPORTING PERSON: Complete items 1-19 (20-28 should be completed by medical personnel, if applicable). Send to Centralized Intake at the address list on page 2.
If you have a suspicion that a child is being abused or neglected, we encourage you to call 224-KIDS (5437) to report it. You can remain anonymous, but our Call Center caseworkers prefer to get your name and contact number in case follow-up questions arise.
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If you suspect abuse or neglect, report it to the PCSA by calling (855) 642-4453 .

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