DSS Form 3087 (SEP 12)_Layout 1 - dss sc-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the names of the parent/caretaker(s) and child(ren) in the designated fields at the top of the form.
  3. Fill in the address and telephone numbers, ensuring all contact information is accurate for effective communication.
  4. In the section regarding safety threats, describe specific behaviors that pose risks to the child(ren). Be clear and concise.
  5. Detail the effects of reported harm on the child(ren) in the provided space, as this information is crucial for assessment.
  6. Outline actions that will protect the child during the investigation. List each action along with the name of the protector responsible.
  7. Identify start and expected ending dates for protective measures, ensuring compliance within a maximum of 90 days.
  8. Complete any additional sections regarding special skills needed by protectors and visitation arrangements if applicable.
  9. Finally, ensure all parties sign and date where indicated to validate agreement on the safety plan.

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