UT DHS-DCFS Form 984 2009 free printable template
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HEALTH VISIT REPORT Utah DHS-DCFS Form 984 Rev August 09 Child s Name D. O. B. Current Age Date of Visit Medicaid ID Number Attending visit Parent Foster Parent Tracker Other Caseworker Name Select Visit Type WCC Sick Visit Dental/Ortho Mental Health/Therapy Med Mgmt.
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How to fill out UT DHS-DCFS Form 984
How to fill out UT DHS-DCFS Form 984
01
Begin by downloading the UT DHS-DCFS Form 984 from the official website.
02
Read the instructions carefully to understand the requirements for filling out the form.
03
Fill in your personal information, including your name, address, and contact details in the designated sections.
04
Provide details about the child or individual involved, including their name, age, and any relevant identification numbers.
05
Answer all questions accurately, ensuring that you provide any required supporting documentation.
06
Review the form for completeness and accuracy before submission.
07
Sign and date the form at the bottom where indicated.
08
Submit the completed form as per the guidelines provided, either online or by mail.
Who needs UT DHS-DCFS Form 984?
01
Individuals applying for services related to child welfare in Utah.
02
Parents or guardians seeking support from the Department of Human Services.
03
Caregivers who need to report concerns regarding child safety.
04
Anyone involved in legal or custodial matters concerning a child.
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What is UT DHS-DCFS Form 984?
UT DHS-DCFS Form 984 is a document used by the Utah Department of Human Services, Division of Child and Family Services for reporting child abuse or neglect cases.
Who is required to file UT DHS-DCFS Form 984?
Individuals who are mandated reporters, such as teachers, healthcare professionals, and social workers, are required to file UT DHS-DCFS Form 984 when they suspect child abuse or neglect.
How to fill out UT DHS-DCFS Form 984?
To fill out UT DHS-DCFS Form 984, you need to provide information regarding the child, the alleged offender, details of the suspected abuse or neglect, and your contact information as the reporter.
What is the purpose of UT DHS-DCFS Form 984?
The purpose of UT DHS-DCFS Form 984 is to formally report instances of suspected child abuse or neglect to the appropriate authorities for investigation and intervention.
What information must be reported on UT DHS-DCFS Form 984?
The information that must be reported includes the child's name, age, and address, details of the suspected abuse or neglect, the name and address of the alleged offender, and any other relevant information to assist in the investigation.
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