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Pennsylvania Child Abuse Instruction Sheet Dear Student: To complete the Pennsylvania Child Abuse Check for your College/University please follow these two steps: 1. Download & Complete the Pennsylvania

How to fill out pennsylvania child abuse form

How to Fill Out Pennsylvania Child Abuse Form:

1. Obtain the form: The Pennsylvania Child Abuse form, also known as Form CY-113, can be found on the Pennsylvania Department of Human Services (DHS) website or obtained from local DHS offices. It is crucial to use the most up-to-date version of the form.
2. Read the instructions: Before filling out the form, carefully review the instructions provided with it. These instructions will guide you step-by-step on how to complete the form accurately.
3. Gather necessary information: To fill out the form effectively, gather all the required information beforehand. This may include the child's full name, date of birth, current address, the names of parents or guardians, any known aliases, and any relevant details related to the suspected abuse.
4. Complete the section about the child: Start by providing the child's identifying information accurately in the designated section of the form. Include their full name, date of birth, and any other required details.
5. Describe the incident: Use the space provided on the form to describe the incident or suspected abuse in as much detail as possible. Be factual and precise, providing specific dates, times, and locations whenever available. Include any witnesses, if applicable, and any supporting evidence or documentation.
6. Provide your information: Fill in the section that asks for your name, contact information, and relationship to the child. If you are an anonymous reporter, follow the instructions provided on the form or contact the relevant authorities for guidance.
7. Sign and date the form: Once you have completed all the necessary sections in the form, sign and date it appropriately. Your signature confirms the accuracy of the information provided and your understanding that making false statements may have legal consequences.

Who needs Pennsylvania Child Abuse Form?:

1. Mandatory reporters: Pennsylvania law requires certain individuals, known as mandatory reporters, to submit a Child Abuse Report if they have reasonable cause to suspect child abuse. Mandatory reporters include medical professionals, educators, childcare providers, law enforcement personnel, social workers, and many others who regularly come into contact with children in their professional capacity.
2. Concerned individuals: The Pennsylvania Child Abuse form is available to anyone who suspects child abuse or neglect, even if they are not considered mandatory reporters. If you have concerns about the safety and well-being of a child, it is essential to report it by completing the form and submitting it to the appropriate authorities.
3. Confidentiality and protection: It is crucial to understand that the information provided on the Pennsylvania Child Abuse form is confidential and protected by state laws. Reporting suspicions of child abuse is a legal obligation for mandatory reporters and an ethical responsibility for all individuals who suspect abuse, ensuring the welfare of children in Pennsylvania.

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What is pennsylvania child abuse form?

The Pennsylvania Child Abuse form is a document used to report suspected cases of child abuse or neglect.

Who is required to file pennsylvania child abuse form?

Certain professionals are mandated reporters of suspected child abuse and must file the form when they suspect abuse or neglect.

How to fill out pennsylvania child abuse form?

To fill out the form, you will need to provide detailed information about the child, the alleged abuse, and the individuals involved.

What is the purpose of pennsylvania child abuse form?

The purpose of the form is to ensure that suspected cases of child abuse or neglect are reported and investigated to protect the well-being of children.

What information must be reported on pennsylvania child abuse form?

The form requires information about the child's identity, the nature of the abuse or neglect, and any known perpetrators or witnesses.