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Reset Form ASSESSMENT OF ALLEGED CHILD ABUSE OR NEGLECT Conclusion State Form 113 R9 / 5-13 / CW 0311 INDIANA DEPARTMENT OF CHILD SERVICES In compliance with Indiana Public Law 276 Acts of 1979 IC 31-33-18 the information provided upon completion of this form will be treated as a confidential record. Demographic information is subject to change. Date of complaint month day year Assessment number Type of assessment Address of household number and street city state and ZIP code County Type of...
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How to fill out assessment of alleged child
How to fill out assessment of alleged child
01
Gather all relevant information about the alleged child.
02
Start with the child's personal information such as name, age, date of birth, and address.
03
Document the details of the alleged incident, including date, time, location, and people involved.
04
Describe the specific behaviors or actions observed that raised concerns about the child's well-being.
05
Include any supporting evidence or documentation, such as photographs, medical records, or witness statements.
06
Provide a comprehensive account of any previous incidents or reports involving the child.
07
Use clear and concise language, avoiding assumptions or personal opinions.
08
Follow any specific guidelines or instructions provided by the relevant authorities or organizations.
09
Double-check the completed assessment for accuracy and completeness.
10
Submit the filled-out assessment to the appropriate department or agency.
Who needs assessment of alleged child?
01
Child protection agencies
02
Law enforcement authorities
03
Child welfare organizations
04
Social workers
05
School administrators
06
Healthcare professionals
07
Legal professionals involved in child custody or abuse cases
08
Guardians or caregivers concerned about the alleged child's well-being
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What is assessment of alleged child?
Assessment of alleged child is the process of evaluating and documenting any claims or suspicions of child abuse or neglect.
Who is required to file assessment of alleged child?
Child welfare agencies, social workers, teachers, healthcare professionals, and other mandatory reporters are required to file assessment of alleged child.
How to fill out assessment of alleged child?
Assessment of alleged child can be filled out by providing detailed information about the child, the alleged abuse or neglect, any witnesses, and the actions taken.
What is the purpose of assessment of alleged child?
The purpose of assessment of alleged child is to investigate and ensure the safety and well-being of the child, and to provide necessary interventions and support.
What information must be reported on assessment of alleged child?
Information such as the child's name, age, living situation, nature of the allegations, any visible injuries, statements from the child and witnesses, and any previous history of abuse or neglect must be reported on assessment of alleged child.
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