Dcf 136 2015-2019 form-2025

See details

4.4 out of 5

577 votes

The document is a report form (DCF-136) for mandated reporters in Connecticut to report suspected child abuse or neglect. It outlines the legal requirements for reporting, definitions of abuse and neglect, the responsibilities of the Department of Children and Families (DCF), and the penalties for failing to report or making false reports. The form must be submitted within 48 hours of an oral report made to the DCF Careline, which provides contact information for various DCF offices.

Here's how it works

01. Edit your dcf 136 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 dcf 136 form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out dcf 136 2015-2019 form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the DCF-136 in the editor.
Begin by entering the child's name, age or date of birth, and race in the designated fields. Ensure accuracy as this information is crucial for identification.
Fill in the names and addresses of the parents or guardians responsible for the child's care. This section helps establish context for the report.
Document details about the suspected perpetrator, including their name and contact information if known. This is vital for investigation purposes.
Provide a detailed account of the nature and extent of any injuries or maltreatment observed. Use clear language to describe circumstances surrounding these incidents.
Complete the reporter section by entering your name, agency, and signature. This verifies your role in reporting and ensures accountability.

Start using our platform today to fill out your DCF-136 form online for free!

See more dcf 136 2015-2019 form versions

We've got more versions of the dcf 136 2015-2019 form form. Select the right dcf 136 2015-2019 form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (166 Votes)
2015	4.4 Satisfied (577 Votes)
2002	4 Satisfied (32 Votes)

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 a LDSS 2221A form be filed on Quizlet?

Oral Report: The mandated reporter makes an immediate oral report to the SCR if they suspect child abuse or maltreatment. Written Report: Within five business days of the oral report, the reporter must complete and submit the LDSS 2221A form.

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

Within five business days of making the oral report.

When must a LDSS 2221 a form be filed?

within 48 hours of making an oral report. The LDSS 2221A form is specifically used for reporting suspected child abuse or maltreatment. ing to the regulations, the correct timeline for filing this form is within 48 hours of making an oral report.

What is a 136 form in CT?

DCF 136 is a form used by the Connecticut Department of Children and Families (DCF) to request and authorize a release of confidential information. This form is used to request records and/or information from other agencies, such as schools, medical providers, law enforcement, etc.

What needs to be reported to DCF in CT?

(a) The employee shall immediately, upon having reasonable cause to suspect or believe that a child has been abused, neglected, or placed in imminent risk of serious harm, or has had non-accidental physical injuries or injuries which are at variance with the history of such injuries, and in no case later than twelve (

dcf non emergent form

Dcf 136 2015 2019 form template Dcf 136 2015 2019 form pdf Dcf 136 2015 2019 form download DCF 136 form Dcf 136 2015 2019 form online Dcf 136 2015 2019 form free DCF-136 printable form DCF-136 non emergent form

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

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].

How do I contact the DCF in CT?

Individuals who have reason to suspect that a child is being abused or neglected should make a report to the Department of Children and Families (DCF) at the toll-free, 24 hour Child Abuse and Neglect Careline (1-800-842-2288).

Dcf 136 2015-2019 form-2025

Here's how it works

How to use or fill out dcf 136 2015-2019 form with our platform

See more dcf 136 2015-2019 form versions

Complete this form in 5 minutes or less

Got questions?

When must a LDSS 2221A form be filed on Quizlet?

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

When must a LDSS 2221 a form be filed?

What is a 136 form in CT?

What needs to be reported to DCF in CT?

Complete this form in 5 minutes or less

People also ask

When must an LDSS 2221A be filed?

How do I contact the DCF in CT?

dcf 136 non emergent form

Try more PDF tools