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Suspected Child Abuse / Referral Form 445A Date: To: Child Protective Services Intake Worker Phone: 18553233237 Fax: 18553233238 Referring Individual: Title: School: Relationship to the child: Re:
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How to fill out suspected child abuse referral

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How to fill out a suspected child abuse referral:

01
Begin by gathering all necessary information about the child in question, such as their name, age, and contact information. It is important to provide as much detail as possible to assist authorities in their investigation.
02
Clearly document and describe the specific incident(s) or behaviors that have raised suspicions of child abuse. Include dates, times, locations, and any other relevant details that could help identify the alleged abuser or provide further context for the referral.
03
If there are any witnesses or individuals who have additional information about the suspected abuse, include their names and contact information in the referral. Their testimonies or observations may play a significant role in the investigation.
04
Make sure to include your own contact information, as the reporting party. This allows authorities to reach out to you for any follow-up questions or to provide updates on the case, if necessary.
05
It is crucial to maintain confidentiality throughout the process. Only share the referral with authorized professionals who are directly involved in the investigation. Do not discuss or disclose sensitive information about the case to anyone who does not have a legitimate need to know.

Who needs suspected child abuse referral:

01
Mandatory Reporters: In many jurisdictions, certain professionals are legally mandated to report suspected child abuse. This includes teachers, doctors, nurses, social workers, daycare providers, and law enforcement personnel. They are required by law to file a report when they have reasonable suspicion or evidence of child abuse.
02
Concerned Individuals: Any person who suspects that a child is being abused or at risk of abuse can make a referral. This could be a family member, neighbor, friend, or even the child themselves if they are old enough to articulate their concerns.
03
Organizations: Institutions or organizations that work closely with children, such as schools, youth centers, and community centers, may encounter situations where they need to file suspected child abuse referrals. It is important for these entities to promptly report any suspicions to protect the welfare of the child and fulfill their duty of care.
Remember, it is always better to err on the side of caution when it comes to reporting suspected child abuse. Even if you are uncertain about the situation, it is advisable to seek guidance from local child protective services or law enforcement agencies, who can assist in determining the appropriate course of action.
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A suspected child abuse referral is a report made to child protective services or law enforcement when there is reason to believe that a child is being abused or neglected.
Certain professionals, such as teachers, doctors, and social workers, are mandated reporters and are required by law to file suspected child abuse referrals.
Suspected child abuse referrals can typically be filled out online or by phone, following the specific guidelines provided by the relevant child protective services or law enforcement agency.
The purpose of suspected child abuse referral is to ensure the safety and well-being of children who may be experiencing abuse or neglect, and to provide them with the necessary support and intervention.
Information such as the child's name, age, address, the nature of the suspected abuse or neglect, and any relevant details about the child's family or caregivers must be reported on suspected child abuse referral.
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