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State of Kansas
Department for Children and Families
Prevention and Protection Services PPS 1011
REV 07/14-Page 1 of 1Child Abuse and Neglect Central RegistryRelease of Informational releases and
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How to fill out child abuse and neglect

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01
Start by gathering all the necessary information about the child abuse or neglect incident. This may include the names and contact details of the parties involved, any witnesses, and any relevant dates or times.
02
Begin filling out the child abuse and neglect form by providing your own personal details, including your name, address, and contact information.
03
Proceed to fill out the details of the child involved, including their name, age, and any relevant medical or educational information.
04
Describe the specific incident of child abuse or neglect in detail. Be as specific and factual as possible, including any physical signs of abuse, witnesses, or relevant conversations.
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If applicable, provide any additional information or documentation, such as photographs, medical reports, or statements from witnesses.
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07
Submit the filled-out form to the appropriate authority or organization responsible for handling child abuse and neglect cases.
Who needs child abuse and neglect?
01
Any individual who has witnessed or suspects child abuse or neglect should report it. This includes teachers, healthcare professionals, family members, neighbors, or any concerned member of the community. It is everyone's responsibility to protect children and ensure their well-being.
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What is child abuse and neglect?
Child abuse and neglect refer to any action or failure to act by a caregiver that results in harm, potential harm, or threat of harm to a child. This encompasses physical, emotional, sexual abuse, and neglectful behaviors that jeopardize a child's safety and well-being.
Who is required to file child abuse and neglect?
Mandatory reporters, such as teachers, doctors, social workers, and law enforcement officials, are required to file reports of suspected child abuse and neglect. Anyone who has reasonable suspicion of abuse or neglect can also report.
How to fill out child abuse and neglect?
To fill out a report of child abuse and neglect, gather all relevant information, including the child's name, address, age, and details of the suspected abuse or neglect. Follow the procedure set by your state or local agency, which may include a specific form or online submission.
What is the purpose of child abuse and neglect?
The purpose of addressing child abuse and neglect is to protect the safety and well-being of children. It aims to prevent harm, ensure proper interventions, support affected families, and promote a safe environment for children.
What information must be reported on child abuse and neglect?
Reports should include the child's name and address, the name and address of the suspected abuser, information about the suspected abuse or neglect, and any other relevant details that could assist in an investigation.
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