Home
Forms Library
JG-4: Georgia Child Protective Services Mandated Reporter Form

JG-4: Georgia Child Protective Services Mandated Reporter Form 2025

JG-4: Georgia Child Protective Services Mandated Reporter Form Preview on Page 1

Show details

4.2 out of 5

51 votes

The document outlines the procedures for reporting suspected child maltreatment in Georgia through the Child Protective Services (CPS) Mandated Reporter Form. It provides three reporting options: online submission, email, and fax, emphasizing the importance of using only one method per family. The document also highlights the confidentiality of reporters, legal immunity when reports are made in good faith, and the necessity for detailed information regarding the child's situation. Additionally, it includes sections for reporter details and specific information about the child and alleged maltreator.

Here's how it works

01. Edit your form 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.

The easiest way to modify JG-4: Georgia Child Protective Services Mandated Reporter Form in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Working on paperwork with our comprehensive and intuitive PDF editor is simple. Make the steps below to complete JG-4: Georgia Child Protective Services Mandated Reporter Form online quickly and easily:

Log in to your account. Log in with your credentials or register a free account to test the product prior to upgrading the subscription.
Upload a document. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit JG-4: Georgia Child Protective Services Mandated Reporter Form. Easily add and highlight text, insert pictures, checkmarks, and symbols, drop new fillable fields, and rearrange or delete pages from your paperwork.
Get the JG-4: Georgia Child Protective Services Mandated Reporter Form accomplished. Download your updated document, export it to the cloud, print it from the editor, or share it with other participants using a Shareable link or as an email attachment.

Make the most of DocHub, the most straightforward editor to promptly handle your paperwork online!

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.

When must an LDSS 2221A be filed?

Within 48 hours of reporting the suspected abuse to SCR, the reporter must also complete and sign a written report (LDSS-2221A) and submit the report to the local department of social services (LDSS) that has been assigned to the investigation [26].

What are the steps you must take as a mandated reporter in Georgia?

Call Centralized Intake at 1-855-422-4453. A report can be made 24 hours a day and 7 days a week. E-mail the completed Mandated Report attached to CPSIntake@DHS.GA.GOV. You will receive an auto-reply stating that the CPS report has been received.

What are the requirements for mandated reporting in Massachusetts?

Mandated reporters like teachers, nurses, or police officers are required by law to complete a written report with 48 hours of calling to report child abuse or neglect. The written report does not replace the requirement to call first.

What is mandatory in a report?

Mandatory means there is no discretion or choice given to the person to decide whether or not to report. Essentially, if a mandatory reporter knows or has reasonable cause to suspect child abuse or neglect, that person must report the possible child abuse or neglect to the local authorities.

How to make a CPS report in GA?

Reports can be make by calling 1-855-GA-Child (1-855-422-4453) or online at cps.dhs.ga.gov.

When must a LDSS 2221A form be filed in NYC?

Oral reports to the SCR from a mandated reporter must be followed within 48 hours by a written report to the local department of social services CPS unit on form LDSS-2221A.

Is a 2221A form required?

REPORTING SUSPECTED CHILD ABUSE Within 48 hours of reporting the suspected abuse to SCR, the reporter must also complete and sign a written report (LDSS-2221A) and submit the report to the local department of social services (LDSS) that has been assigned to the investigation [26].

What is the mandated reporter code in Georgia?

Mandated Reporter Law - O.C.G.A. 19-7-5 (2016) It is intended that mandatory reporting will cause the protective services of the state to be brought to bear on the situation in an effort to prevent abuses, to protect and enhance the welfare of children, and to preserve family life wherever possible.

JG-4: Georgia Child Protective Services Mandated Reporter Form 2025

Here's how it works