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DESCRIPTION OF CHILD ABUSE/NEGLECT of the incident. HOW IS THE CHILD REACTING TO THE SITUATION Please list specific behaviors exhibited by the child e.g. fearful. CHILD ABUSE/NEGLECT REFERRAL FORM INFORMATION AND INSTRUCTIONS Reporting Child Abuse and Neglect This reporting system has been provided to report suspected instances of abuse/neglect that took place in Clark County Nevada and do not require an emergency response. You may also print out a blank form fill it in by hand and fax it to...
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How to fill out child abuseneglect referral form

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How to fill out child abuseneglect referral form

01
Start by downloading the child abuse/neglect referral form from the appropriate organization's website.
02
Read the instructions carefully to understand the required information and any specific guidelines.
03
Gather all relevant information about the child, including their name, age, address, and contact details.
04
Document any signs, symptoms, or specific incidents of abuse or neglect that you have observed or are aware of.
05
Provide details about the alleged abuser or neglectful individual, including their name, relationship to the child, and any relevant background information.
06
Include any supporting documentation, such as photographs, medical reports, or eyewitness accounts, if available.
07
Complete all sections of the referral form accurately and truthfully.
08
Double-check the form for any errors or missing information before submitting it.
09
Submit the completed referral form according to the instructions provided, either through electronic means or by mailing it to the designated address.
10
Keep a copy of the referral form for your records and to track the progress of your report, if necessary.

Who needs child abuseneglect referral form?

01
Anyone who suspects or has evidence of child abuse or neglect needs the child abuse/neglect referral form.
02
This form is typically used by professionals working with children, such as teachers, doctors, social workers, counselors, and law enforcement officers.
03
Mandatory reporters, including certain professionals who are legally obligated to report suspected abuse or neglect, may need to use this form.
04
Members of the public who have reasonable cause to believe that a child is being abused or neglected can also make use of this form.
05
The specific organization or agency responsible for child welfare in your area will provide guidance on who needs to fill out this form.

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