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SUSPECTED CHILD ABUSE REPORT FORM Reporting Phone Number (541) 6932700 This does not constitute a complete report. AS A MANDATED REPORTER, YOU ARE REQUIRED TO NOTIFY, BY TELEPHONE OR IN PERSON, DEPARTMENT

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7. If the form requires a signature, sign it using your legal signature. Pay attention to any specific instructions regarding the signature placement or format.
8. Once you have filled out the entire form and reviewed it thoroughly, you are ready to submit it according to the given instructions. Make a copy of the completed form for your records, if necessary.

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