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Alameda County Pilot Program CPS/At Risk Referral Form (01/17)REFERRAL FOR CHILD PROTECTIVE SERVICES/AT RISK To be completed by a CPS Worker, representative from a shelter or local social services
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How to fill out referral for child protective

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How to fill out referral for child protective

01
To fill out a referral for child protective services, follow these steps:
02
Start by gathering all relevant information about the child in question, such as their name, age, address, and any details about the suspected abuse or neglect.
03
Contact your local child protective services agency or hotline to report your concerns. You can usually find the contact information online or in the phone book.
04
When speaking with a representative, provide them with all the necessary information you collected. Be as specific and detailed as possible about the situation.
05
Follow the guidance of the child protective services agency regarding any additional steps or documentation they may require. They may ask you to submit a written statement or other evidence to support your referral.
06
Keep any personal information or identifying details confidential to protect the privacy and safety of the child and involved parties.
07
Continue to monitor the situation and follow up with child protective services if necessary.
08
Remember, it is important to act promptly and responsibly when reporting suspected child abuse or neglect. Your referral could help protect a child from harm.

Who needs referral for child protective?

01
Anyone who suspects child abuse or neglect needs to make a referral for child protective services. This can include:
02
- Family members, friends, or neighbors who have witnessed or have reason to believe that a child is being mistreated.
03
- Teachers, school staff, or daycare providers who have noticed signs of abuse or neglect in a child under their care.
04
- Health professionals, such as doctors, nurses, or therapists, who have concerns about a child's well-being.
05
- Any concerned individual who has information or evidence suggesting that a child is in danger or being harmed.
06
It is always better to err on the side of caution and report any suspicions or concerns to child protective services. They are trained to assess and investigate cases of child abuse or neglect, and take appropriate action to ensure the safety and well-being of the child.
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A referral for child protective services is a formal report made to the appropriate agency indicating that a child may be at risk of abuse or neglect.
Mandated reporters, such as teachers, doctors, social workers, and law enforcement, are required to file a referral for child protective services if they suspect child abuse or neglect.
To fill out a referral for child protective services, you typically need to provide information about the child and family, details of the suspected abuse or neglect, your contact information, and any other pertinent facts.
The purpose of a referral for child protective services is to ensure the safety and well-being of children who may be experiencing abuse or neglect, and to initiate an investigation by appropriate authorities.
The information that must be reported includes the child's name and age, the address of the child and family, details of the suspected abuse or neglect, names of the parents or caregivers, and any immediate safety concerns.
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