child abuse reporting form - Yakima School District Preview on Page 1

Child abuse reporting form - Yakima School District 2026

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  1. Click ‘Get Form’ to open the child abuse reporting form in the editor.
  2. Begin by entering the student's full name, including last name, first name, and initial. Ensure accuracy as this information is crucial for identification.
  3. Fill in the date of birth (DOB) and address details, including street number, city, state, and ZIP code. This helps establish the child's identity and location.
  4. Provide parent or guardian contact information, including home phone and cell phone numbers. This ensures that authorities can reach out if necessary.
  5. Indicate the maltreatment type by selecting from options such as neglect, physical injury, sexual abuse, or exploitation. Be specific to aid in proper assessment.
  6. In the description section, detail the allegations or concerns thoroughly. Use direct quotes when possible and provide any relevant background information.
  7. Sign and date the report at the bottom of the form. Include your title if applicable to validate your report.

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The term includes physical injury or death inflicted upon a child by another person by other than accidental means, sexual abuse as defined in Section 11165.1, neglect as defined in Section 11165.2, unlawful corporal punishment or injury as defined in Section 11165.4, or the willful harming or injuring of a child or
Are you a mandatory reporter? If you are, you must, by law, immediately report the abuse, abandonment, neglect, and financial exploitation of a vulnerable adult to the Washington State Department of Social and Health Services (DSHS).
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.
Some states require mandated reporters to report past abuse if the victim is still a minor. However, many state laws do not address reporting past abuse at all, leaving the issue up to the reporter. In these cases, reporting past abuse may become an ethical decision versus a legal one.

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Related links

How to Report Child Abuse or Neglect | Washington State

Find your local intake number to report abuse or neglect. call 866-363-4276 Region 1 1-800-557-9671 intake line at 866-363-4276.

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