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GA Child Protective Services Mandated Reporter Form 2014 free printable template

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STATE OF GEORGIA Division of Family and Children Services Nathan Deal Governor Bobby D. Cable Interim Director Georgia Child Protective Services Mandated Reporter Form A report can be made by calling
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GA Child Protective Services Mandated Reporter Form Form Versions

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How to fill out GA Child Protective Services Mandated Reporter Form

01
Begin by downloading the Georgia Child Protective Services Mandated Reporter Form from the official website.
02
Fill in your personal information, including your name, address, phone number, and email.
03
Provide details about the child, including their name, age, and address.
04
Describe your relationship to the child and any relevant details about the child's situation.
05
Include the name and address of the child's parents or guardians, if known.
06
Document your observations and concerns regarding suspected abuse or neglect, including specific incidents.
07
Sign and date the form to certify the accuracy of the information provided.
08
Submit the completed form to the appropriate child protective services office as instructed.

Who needs GA Child Protective Services Mandated Reporter Form?

01
Individuals who are mandated reporters, such as teachers, healthcare professionals, social workers, and law enforcement officers, need to fill out the GA Child Protective Services Mandated Reporter Form.
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The secretary and law enforcement officers shall have the duty to receive and investigate reports of child abuse or neglect for the purpose of determining whether the report is valid and whether action is required to protect a child.
Suspected child abuse which is required to be reported by any person shall be reported notwithstanding that the reasonable cause to believe such abuse has occurred or is occurring is based in whole or in part upon any communication to that person which is otherwise made privileged or confidential by law.
Neglect is the failure of the parent or caretaker to see that a child is adequately supervised, fed, clothed or housed. Sexual abuse occurs when a parent or other adult uses a child under age 18 for sexual gratification.
❖ As mandated reporters, public health employees are required to report suspected child abuse, which includes, but is not limited to, physical abuse, neglect, emotional abuse, sexual abuse or sexual exploitation O.C.G.A. § 19-7-5 (b).

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The GA Child Protective Services Mandated Reporter Form is a document used by mandated reporters in the state of Georgia to report suspected child abuse or neglect to the appropriate authorities.
Mandated reporters in Georgia, which include professionals such as teachers, healthcare providers, social workers, and law enforcement officials, are required to file the GA Child Protective Services Mandated Reporter Form when they suspect child abuse or neglect.
To fill out the GA Child Protective Services Mandated Reporter Form, mandated reporters should provide detailed information about the child, the nature of the suspected abuse or neglect, any relevant observations, and their contact information.
The purpose of the GA Child Protective Services Mandated Reporter Form is to facilitate the reporting process of suspected child abuse or neglect to ensure the safety and well-being of children.
The information that must be reported includes the child's name, age, address, details of the alleged abuse or neglect, the names of the suspected abuser(s), and any observations that prompted the report.
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