454 Exhibit 1 Report of Suspected Child Abuse Form 2025

1. Click ‘Get Form’ to open the 454 Exhibit 1 Report of Suspected Child Abuse Form in the editor.
2. Begin by entering the reporter’s name and date at the top of the form. This information is crucial for tracking and accountability.
3. Select the appropriate school from the provided options by checking one box. This helps identify where the report originates.
4. Fill in the child’s name, grade, date of birth, and address. Ensure accuracy as this information is vital for follow-up actions.
5. Provide contact numbers for both mother/guardian and father/guardian. This facilitates communication regarding the report.
6. List any siblings along with their ages to provide context about the child's family situation.
7. Indicate all suspected forms of abuse or maltreatment by checking each applicable box. Be thorough to ensure proper assessment.
8. In the summary section, detail the incident using specific quotes from the child, including dates and injuries. This section is critical for understanding the situation.
9. Select the appropriate county for Child Protection Services and provide their contact details if necessary.
10. Finally, enter your name as the intake worker and record the date when you made this report before saving or submitting your form.

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