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Page FAH Form 1651aChild Abuse History Record Request for Child Placement Adam WalshNOTE: This form must be submitted by the agency identified at the bottom of this page. The applicant may NOT SUBMIT
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How to fill out child abuse history record

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How to fill out child abuse history record

01
Start by gathering all relevant information about the child and their parents or legal guardians.
02
Begin the record by providing the child's personal details, such as their full name, date of birth, and current address.
03
Include information about the child's family, including the names, contact details, and relationships of their parents or legal guardians.
04
Document any previous instances of child abuse or neglect, including dates, locations, and descriptions of the incidents.
05
If applicable, record any involved authorities or agencies, such as law enforcement or child protective services, including their contact information.
06
Include any supporting evidence or documentation related to the reported incidents, such as police reports, medical records, or witness statements.
07
Provide a detailed account of the actions taken by authorities or agencies in response to the reported incidents, including investigations, interventions, or legal proceedings.
08
Summarize the current status of the child abuse situation, including any ongoing investigations, court orders, or protective measures in place.
09
Conclude the record by indicating any further actions required or recommendations for the child's safety and well-being.
10
Review the completed child abuse history record for accuracy and ensure that it is stored securely and confidentially.

Who needs child abuse history record?

01
Child abuse history records are typically required by various professionals and organizations involved in child welfare, protection, and support. These may include:
02
- Child protective services agencies
03
- Law enforcement agencies
04
- Social workers
05
- Mental health professionals
06
- Schools and educational institutions
07
- Foster care agencies
08
- Adoption agencies
09
- Hospital and healthcare facilities
10
- Legal professionals involved in child custody or abuse cases
11
- Research organizations studying child abuse and its prevention
12
- Nonprofit organizations offering counseling or support services to abused children and their families
13
- Courts and legal authorities overseeing child abuse cases
14
These records serve as important documentation and reference for assessing the well-being and safety of a child, making informed decisions, providing appropriate interventions, and protecting vulnerable children from abuse or neglect.
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