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GA Child Protective Services Mandated Reporter Form 2019 free printable template

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GEORGIA DEPARTMENT OF HUMAN SERVICES DIVISION OF FAMILY AND CHILDREN SERVICES Muskogee Countywide're: Dear: Thank you for your concern regarding the children of Georgia and your compliance with the
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GA Child Protective Services Mandated Reporter Form Form Versions

How to fill out GA Child Protective Services Mandated Reporter

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How to fill out GA Child Protective Services Mandated Reporter Form

01
Obtain the GA Child Protective Services Mandated Reporter Form from the official website or local CPS office.
02
Fill in your personal information, including name, address, phone number, and email.
03
Provide details about the child involved, including their name, age, and address.
04
Describe the nature of the suspected abuse or neglect clearly and concisely.
05
Include any information about the parents or guardians, if known.
06
If you observed any specific incidents, provide dates, times, and descriptions.
07
Check any reporting options that apply, such as if you are a mandated reporter.
08
Sign and date the form affirming that the information provided is true to the best of your knowledge.
09
Submit the form to the appropriate Child Protective Services office or online portal.

Who needs GA Child Protective Services Mandated Reporter Form?

01
Anyone who suspects child abuse or neglect, including teachers, healthcare workers, social workers, and other mandated reporters, needs to fill out the GA Child Protective Services Mandated Reporter Form.
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The secretary and law enforcement officers shall have the duty to receive and investigate reports of child abuse or neglect for the purpose of determining whether the report is valid and whether action is required to protect a child.
Suspected child abuse which is required to be reported by any person shall be reported notwithstanding that the reasonable cause to believe such abuse has occurred or is occurring is based in whole or in part upon any communication to that person which is otherwise made privileged or confidential by law.
Neglect is the failure of the parent or caretaker to see that a child is adequately supervised, fed, clothed or housed. Sexual abuse occurs when a parent or other adult uses a child under age 18 for sexual gratification.
❖ As mandated reporters, public health employees are required to report suspected child abuse, which includes, but is not limited to, physical abuse, neglect, emotional abuse, sexual abuse or sexual exploitation O.C.G.A. § 19-7-5 (b).

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The GA Child Protective Services Mandated Reporter Form is a document that professionals are required to fill out and submit when they suspect child abuse or neglect. This form is used to report concerns to child protective services for investigation.
Individuals who are considered mandated reporters, such as teachers, doctors, nurses, social workers, and other professionals who work with children, are required to file the GA Child Protective Services Mandated Reporter Form.
To fill out the GA Child Protective Services Mandated Reporter Form, the reporter must provide information about the child, details of the suspected abuse or neglect, and their own contact information. It is important to be detailed and factual in the report.
The purpose of the GA Child Protective Services Mandated Reporter Form is to ensure that concerns about child abuse or neglect are formally documented and reported to the appropriate authorities so that appropriate actions can be taken to protect the child.
The information that must be reported includes the child's name, age, address, a description of the suspected abuse or neglect, details about the alleged perpetrator, and any other relevant information that could assist in the investigation.
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