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REPORTING FORM OF SUSPECTED CHILD MALTREATMENT
Mandated reporter must submit written report within 72 hours of verbal report.
Pursuant to Minnesota Statute 626.556, Sub. 43, Sub. 7, this is a written
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How to fill out minnesota child maltreatment intake

How to fill out minnesota child maltreatment intake
01
To fill out the Minnesota child maltreatment intake form, follow these steps:
02
Download the form from the official website of the Minnesota Department of Human Services.
03
Read the instructions and familiarize yourself with the information required to complete the form.
04
Provide accurate and detailed information about the child who may be experiencing maltreatment, including their name, age, gender, and any known contact information.
05
Describe the specific incidents or signs of maltreatment that have been observed or reported.
06
Include any relevant dates, times, and locations associated with these incidents.
07
Provide information about the alleged maltreating person or persons, including their name, relationship to the child, and any identifying details.
08
If known or applicable, provide details about witnesses or other individuals who may have relevant information about the maltreatment.
09
Sign and date the form to confirm the accuracy of the information provided.
10
Submit the completed form to the appropriate authorities as specified in the instructions or by contacting the Minnesota Department of Human Services for further guidance.
Who needs minnesota child maltreatment intake?
01
Anyone who suspects child maltreatment in Minnesota needs to fill out the child maltreatment intake form. This may include:
02
- Parents or guardians who suspect maltreatment of their own child
03
- Family members or relatives who suspect maltreatment of a child within their family
04
- Teachers, daycare providers, or school staff who suspect maltreatment of a student
05
- Healthcare professionals who suspect maltreatment of a child under their care
06
- Social workers or child protective services agencies
07
- Law enforcement officers or other legal professionals who come across cases of suspected child maltreatment
08
- Concerned members of the public who suspect maltreatment and want to report it for further investigation.
09
If someone reasonably believes a child is being maltreated or neglected, it is their legal responsibility to report it using the child maltreatment intake form or by contacting the appropriate authorities in Minnesota.
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What is Minnesota child maltreatment intake?
Minnesota child maltreatment intake is the process by which reports of suspected child abuse or neglect are received and assessed by Child Protective Services to determine if further investigation is necessary.
Who is required to file Minnesota child maltreatment intake?
Minnesota law requires certain professionals, known as mandated reporters, to file a child maltreatment intake when they have reason to believe a child is being abused or neglected. This includes teachers, doctors, social workers, and law enforcement officers.
How to fill out Minnesota child maltreatment intake?
To fill out a Minnesota child maltreatment intake, individuals must provide detailed information about the suspected maltreatment, including the child's name, age, address, the nature of the abuse or neglect, and any other relevant details that may assist the investigation.
What is the purpose of Minnesota child maltreatment intake?
The purpose of Minnesota child maltreatment intake is to ensure the safety and well-being of children by allowing authorities to promptly investigate allegations of abuse or neglect and take appropriate action if necessary.
What information must be reported on Minnesota child maltreatment intake?
The intake report must include the child's name, age, address, details about the suspected maltreatment, the name and address of the alleged perpetrator, and any observations or evidence that support the claim.
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