Child abuse reporting form - Yakima School District: Fill out & sign online

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

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What types of abuse must be reported under Canra?

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

Which abuse comes under mandatory reporting in WA?

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).

What type of abuse should be reported?

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.

Do mandated reporters report past abuse?

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.