Get the free Safe Haven CPS Intake Form

CONSENT AND RELEASE OF LIABILITY FORM FOR SAFE HAVEN SUMMER BREAK PROGRAM 2015 DESCRIPTION OF PROGRAM: SAFE HAVEN SITES AND SERVICES SUMMER BREAK PROGRAM 2015 TIME PERIOD: JULY 6, 2014, THROUGH AUGUST

How to fill out safe haven cps intake

How to fill out safe haven CPS intake:

1. Start by gathering all necessary information and documents, such as identification for both parents or legal guardians, birth certificates, medical records, and any legal paperwork.
2. Contact your local Child Protective Services (CPS) agency or visit their website to obtain the safe haven CPS intake form. This form is usually available online or can be obtained from a CPS office.
3. Fill out the personal information section of the intake form, which typically includes details such as the child's name, date of birth, address, and contact information for the parents or legal guardians.
4. Provide detailed information about the reasons for seeking safe haven protection. Explain any immediate dangers or risks to the child's safety and why you believe the child needs to be placed in the safe haven program.
5. Describe any known medical conditions, allergies, or special needs that the child may have. This information will help CPS provide appropriate care for the child while they are in safe haven.
6. Include as much information as possible about the child's parents or legal guardians, such as their names, addresses, phone numbers, and any history of abuse or neglect.
7. If you have any evidence or supporting documentation, such as police reports, medical records, or witness statements, attach copies to the intake form or provide them separately to CPS. This will help strengthen your case and provide more information for CPS to assess the situation.
8. Take the completed intake form to the nearest CPS office or submit it online, depending on the specific instructions provided by your local agency.
9. Keep a copy of the intake form for your records and ensure that you have a clear understanding of the next steps in the safe haven process.

Who needs safe haven CPS intake?

The safe haven CPS intake is for individuals who believe that a child is in immediate danger or at risk of abuse or neglect. This could include parents or legal guardians who are unable to provide a safe environment for the child due to various reasons such as substance abuse, domestic violence, mental illness, or other factors that significantly impact the child's well-being. The safe haven program aims to protect children by temporarily placing them in a safe and stable environment while CPS assesses the situation and works to ensure their safety.

For pdfFiller’s FAQs

What is safe haven cps intake?

Safe haven CPS intake is a confidential report made to child protective services when a parent or caregiver is unable or unwilling to provide a safe environment for a child.

Who is required to file safe haven cps intake?

Anyone who has knowledge or suspicion of child abuse or neglect is required to file a safe haven CPS intake report.

How to fill out safe haven cps intake?

To fill out a safe haven CPS intake, one must provide detailed information about the child, the alleged abuser, and the specific incident or pattern of abuse.

What is the purpose of safe haven cps intake?

The purpose of safe haven CPS intake is to protect the well-being of children and ensure that situations of abuse or neglect are investigated and addressed.

What information must be reported on safe haven cps intake?

Information such as the child's name, age, address, the nature of the abuse or neglect, any witnesses, and any evidence should be reported on a safe haven CPS intake.

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