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LDSS-3122 (REV. 3/99) STATEMENT OF PURPOSE Adult Residential Care Programs provide 24-hour residential care settings for dependent adults. They are not medical facilities. Persons in need of constant
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Form LDSS-3122 Revised is a document used by the New York State Office of Children and Family Services to document child abuse or maltreatment.
Certain professionals, such as doctors, teachers, social workers, and law enforcement officers, are required by law to file Form LDSS-3122 Revised when they have reasonable cause to suspect child abuse or maltreatment.
Form LDSS-3122 Revised should be filled out with as much detail as possible, including the name and address of the child, a description of the alleged abuse, and any other relevant information.
The purpose of Form LDSS-3122 Revised is to provide a standardized way to report suspected cases of child abuse or maltreatment so that appropriate action can be taken to protect children.
Form LDSS-3122 Revised requires the reporter to provide detailed information about the child, the alleged abuse or maltreatment, and any other relevant information that could help investigators.
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