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SHP-186 1/87 Missouri State Highway Patrol / Missouri Department of Social Services REQUEST FOR CHILD ABUSE OR NEGLECT / CRIMINAL RECORD TYPE OF SERVICE (Check only one) See reverse side for further
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How to fill out request for child abuse

How to fill out a request for child abuse:
01
Start by gathering all relevant information, such as the name of the child, their age, and any known details about the alleged abuse.
02
Clearly state your relationship to the child, whether you are a parent, guardian, or concerned individual.
03
Describe the nature of the abuse as best as you can, including any specific incidents or patterns of behavior that raise concern.
04
Provide any supporting evidence or documentation, such as photographs, videos, or medical records, that may help substantiate your claims.
05
Include contact information, such as your name, address, phone number, and email, so that authorities can reach out to you for further information if needed.
06
If there are any witnesses to the abuse, include their names and contact information as well.
07
Sign and date the request form, indicating that all the information provided is true and accurate to the best of your knowledge.
08
Keep a copy of the completed request for your records.
Who needs a request for child abuse?
01
Anyone who believes a child is being abused or is at risk of abuse can submit a request for child abuse.
02
This can include parents, relatives, friends, teachers, or any concerned individual who suspects abuse.
03
It is important for anyone who suspects child abuse to report their concerns promptly, as it is the responsibility of adults to protect and ensure the well-being of children.
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What is request for child abuse?
Request for child abuse is a formal inquiry or notification made to authorities regarding suspected or confirmed cases of child abuse.
Who is required to file request for child abuse?
Any individual who suspects or has knowledge of child abuse is required to file a request for child abuse.
How to fill out request for child abuse?
You can fill out a request for child abuse by providing detailed information about the suspected or confirmed case of child abuse, including relevant dates, names, and any supporting evidence.
What is the purpose of request for child abuse?
The purpose of requesting for child abuse is to ensure that authorities are informed of potential harm to a child and can take appropriate action to protect the child.
What information must be reported on request for child abuse?
The request for child abuse must include details about the suspected or confirmed abuse, the individuals involved, the nature of the abuse, and any other relevant information.
How can I send request for child abuse to be eSigned by others?
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