CHILD ABUSE & NEGLECT REPORT FORM 2025

Get Form
report extreme child abuse Preview on Page 1

Here's how it works

01. Edit your report extreme child abuse online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out CHILD ABUSE & NEGLECT REPORT FORM with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the CHILD ABUSE & NEGLECT REPORT FORM in the editor.
  2. Begin by filling in your contact information as the reporter, including your name, business address, and phone number. This is crucial for follow-up communication.
  3. Next, provide details about the child involved. Fill in the child's name, date of birth, sex, and school. Ensure accuracy as this information is vital for proper handling.
  4. Complete the section regarding the parent’s or guardian’s information. Include their names and addresses along with any relevant phone numbers.
  5. Document any siblings or other children in the home by listing their names and dates of birth.
  6. In the 'Alleged Perpetrator(s)' section, provide names and addresses if known. This helps authorities take appropriate action.
  7. Finally, describe the incident briefly but clearly. Remember to call Community Human Services or Law Enforcement with detailed concerns as required.

Start using our platform today to complete your CHILD ABUSE & NEGLECT REPORT FORM easily and securely!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
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.

People also ask

If you suspect abuse or neglect, report it to the PCSA by calling (855) 642-4453 .

Related links