IA Form 470-0665 2021-2026 free printable template
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Iowa Department of Human ServicesReport of Suspected Child Abuse
This form may be used as the written report which the law requires all mandated reporters to file with the Department of
Human Services
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How to fill out IA Form 470-0665
How to fill out IA Form 470-0665
01
Obtain a copy of IA Form 470-0665 from the relevant agency or website.
02
Start by filling in your personal details such as name, address, and contact information in the designated fields.
03
Provide any required identification numbers, such as Social Security or tax identification numbers.
04
Complete the sections relevant to the purpose of the form, ensuring accuracy and completeness.
05
Review the instructions for any additional documentation that may be required.
06
Sign and date the form at the specified section.
07
Submit the completed form to the appropriate agency or department as instructed.
Who needs IA Form 470-0665?
01
Individuals or organizations applying for specific state benefits or services that require this form.
02
Applicants seeking eligibility or assistance from state agencies in Iowa.
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People Also Ask about
What is the mandatory reporting law in Iowa?
Although anyone can report child and dependent adult abuse and are encouraged to do so, mandatory reporters are required by law to make a report of suspected abuse within 24 hours of becoming aware of the concern(s). If a child or dependent adult is in imminent danger, CALL 911 immediately.
What is CPS called in Iowa?
The Child Protective Services intake unit receives reports of suspected abuse and neglect of children (under the age of 18 years) as well as reports that a child is in need of assistance from the Juvenile Court.
What is considered child neglect in Iowa?
Willfully deprives a child or minor of necessary food, clothing, shelter, health care or supervision appropriate to the child or minor's age, when the person is reasonably able to make the necessary provisions and which deprivation substantially harms the child or minor's physical, mental or emotional health.
How do I contact DHS Iowa?
For problems or concerns regarding your local DHS office contact the Central Office at 1-800-972-2017 or by email at contactdhs@dhs.state.ia.us.
How do I report to DHS in Iowa?
Call the Abuse Hotline at 1-800-362-2178, available 24 hours a day, 7 days a week. Please be ready to provide identifying information and the whereabouts of the child. You may remain anonymous unless you are making a report as a mandatory reporter.
What does DHS look for in a home visit Iowa?
Many people wonder, “What does CPS look for in a home visit?” The major factors are making sure the home is a safe place for the child. For example, they look at the quality of the sleeping conditions, how much food is available, and if the child has enough clothing to determine if there's any sign of neglect.
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What is IA Form 470-0665?
IA Form 470-0665 is a form used by individuals or organizations to report certain financial or operational details to the Iowa Department of Human Services.
Who is required to file IA Form 470-0665?
Individuals or entities that receive specific types of funding or operate programs subject to oversight by the Iowa Department of Human Services are required to file IA Form 470-0665.
How to fill out IA Form 470-0665?
To fill out IA Form 470-0665, follow the instructions provided with the form, ensuring all required fields are completed accurately, and provide any necessary documentation as requested.
What is the purpose of IA Form 470-0665?
The purpose of IA Form 470-0665 is to ensure compliance with state regulations by collecting essential information for monitoring and evaluation of funded programs.
What information must be reported on IA Form 470-0665?
Information that must be reported on IA Form 470-0665 typically includes financial details, program descriptions, compliance data, and other relevant operational metrics.
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