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Print SUSPECTED CHILD ABUSE REPORT To Be Completed by Mandated Child Abuse Reporters CASE NAME: Pursuant to Penal Code Section 11166 B. REPORT A. REPORTING NOTIFICATION PARTY PLEASE PRINT OR TYPE
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How to fill out suspected child abuse report

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How to fill out a suspected child abuse report:

01
Begin by gathering all relevant information about the suspected child abuse. This includes the child's name, age, address, and any other identifying information you have.
02
Write down a detailed account of the suspected abuse. Include dates, times, locations, and any witnesses or other individuals involved.
03
Document any physical injuries or behavioral changes you have observed in the child that may indicate abuse.
04
If possible, take photographs of any visible injuries or evidence of abuse.
05
Contact the appropriate authorities in your area to report the suspected child abuse. This may be your local child protective services agency, law enforcement, or both. Follow their instructions on how to file the report.
06
Fill out the suspected child abuse report form provided by the authorities. Be sure to provide accurate and complete information, as this will help them assess and investigate the case.
07
Sign and date the report form, and keep a copy for your records.
08
If you are a mandated reporter, such as a teacher or medical professional, you may have additional reporting obligations. Familiarize yourself with the requirements in your jurisdiction and follow them accordingly.

Who needs a suspected child abuse report?

01
Anyone who suspects that a child is being abused or neglected should make a report.
02
Professionals who work with children, such as teachers, counselors, doctors, nurses, and child care providers, are mandated reporters and have a legal obligation to report suspected child abuse.
03
It is important for community members, neighbors, friends, and family members to also report suspected child abuse to ensure the safety and well-being of the child.
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A suspected child abuse report is a report made to authorities when there is reason to believe that a child is being abused or neglected.
In most cases, professionals who work with children such as doctors, teachers, and social workers are required by law to file a suspected child abuse report if they suspect abuse or neglect.
To fill out a suspected child abuse report, you must provide detailed information about the child, the suspected abuse or neglect, and any other relevant details.
The purpose of a suspected child abuse report is to ensure that authorities investigate cases of suspected abuse or neglect and take appropriate action to protect the child.
Information such as the child's name, age, address, the nature of the suspected abuse or neglect, and any other relevant details must be reported on a suspected child abuse report.
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