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IA Form 470-0665 2011 free printable template

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Iowa Department of Human Services REPORT OF SUSPECTED CHILD ABUSE This form may be used as the written report which the law requires all mandated reporters to file with the Department of Human Services
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Begin by downloading the IA Form 470-0665 from the official website or obtaining a physical copy.
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Fill in your personal information, including your name, address, and contact details accurately.
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Specify the purpose of the form by selecting the relevant options provided.
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Who needs IA Form 470-0665?

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Individuals or organizations applying for specific benefits or services that require the use of IA Form 470-0665.
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Anyone participating in programs regulated by the agency associated with the form.
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People Also Ask about

Although anyone can report child and dependent adult abuse and are encouraged to do so, mandatory reporters are required by law to make a report of suspected abuse within 24 hours of becoming aware of the concern(s). If a child or dependent adult is in imminent danger, CALL 911 immediately.
The Child Protective Services intake unit receives reports of suspected abuse and neglect of children (under the age of 18 years) as well as reports that a child is in need of assistance from the Juvenile Court.
Willfully deprives a child or minor of necessary food, clothing, shelter, health care or supervision appropriate to the child or minor's age, when the person is reasonably able to make the necessary provisions and which deprivation substantially harms the child or minor's physical, mental or emotional health.
For problems or concerns regarding your local DHS office contact the Central Office at 1-800-972-2017 or by email at contactdhs@dhs.state.ia.us.
Call the Abuse Hotline at 1-800-362-2178, available 24 hours a day, 7 days a week. Please be ready to provide identifying information and the whereabouts of the child. You may remain anonymous unless you are making a report as a mandatory reporter.
Many people wonder, “What does CPS look for in a home visit?” The major factors are making sure the home is a safe place for the child. For example, they look at the quality of the sleeping conditions, how much food is available, and if the child has enough clothing to determine if there's any sign of neglect.

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IA Form 470-0665 is a form used by individuals or entities in Iowa to report specific information as required by state regulations.
Any individual or organization that meets the criteria set forth by Iowa state laws for reporting specific financial information is required to file IA Form 470-0665.
To fill out IA Form 470-0665, you need to gather the required information, follow the instructions provided on the form carefully, and ensure that all sections are completed accurately before submitting.
The purpose of IA Form 470-0665 is to collect necessary financial and reporting information from individuals or organizations to ensure compliance with state regulations.
IA Form 470-0665 typically requires reporting of financial information, including income, expenses, and any other relevant data as specified in the form instructions.
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