Child Abuse Report Form for use by church - cascadiadiocese 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Date of report' and 'Time of report' in the designated fields.
3. Notify the rector or designated person in your church by filling in their name and telephone number where the report was made.
4. If you witnessed abuse, remember to call 911 immediately. Otherwise, provide the contact information for Child Services or local law enforcement.
5. Document any witnesses who can verify your report by including their printed name and signature.
6. Fill out the child's name, parent's name(s), and address accurately to ensure proper identification.
7. Indicate the child's age and birthdate, followed by details regarding the kind and extent of abuse observed.
8. Provide any evidence of prior abuse if applicable, along with the suspected abuser's name and contact information.
9. Conclude by noting any additional information that may help establish the identity of the suspected abuser or circumstances surrounding the incident, as well as confirming if the child is currently safe.

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