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ChinleUnifiedSchoolDistrict StudentSafety/SuspectedChildAbuse&Neglect(SCAN)Form ExceptionalStudentServicesSocialServices (928)6749733;9739;9729 Report Date: Reporting School:Report Time: CDCESCESMVESMFPSSchool
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01
Start by obtaining a copy of the studentsafetysuspectedchildabuseampneglectscanform from the appropriate authority or organization.
02
Read the form carefully to understand the information and sections required.
03
Begin by providing your personal details, such as your name, contact information, and position/title.
04
Specify the name of the student involved and provide relevant identifying information like age, grade, and school.
05
Describe the suspected child abuse or neglect in detail. Use factual information and any evidence or observations you might have.
06
Include any witnesses or individuals who might have relevant information supporting your suspicions.
07
Indicate when the suspected incident occurred and if it is ongoing.
08
Provide any additional documentation or attachments that could support your report.
09
Sign and date the form to acknowledge the accuracy of the information provided.
10
Submit the completed form according to the instructions provided.

Who needs studentsafetysuspectedchildabuseampneglectscanform?

01
Anyone who suspects or has evidence of a child being abused or neglected needs the studentsafetysuspectedchildabuseampneglectscanform. This form is typically used by school personnel, teachers, counselors, or administrators who are mandated reporters of child abuse. It is also used by individuals in other professions who come into regular contact with children, such as healthcare providers or social workers. Additionally, concerned parents or guardians who suspect their child might be a victim of abuse or neglect can also utilize this form to report their concerns.
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