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Please use I.D. label or block printXY318420Health Service: ___SCREENING FOR FAMILY AND DOMESTIC VIOLENCE (FDP 950)SURNAMEUMRN / MRNGIVENNAMESDOBADDRESSGENDER POSTCODETELEPHONEPurpose of this tool:

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What is family violence - department?

The family violence department is a government agency or organization that is responsible for addressing and providing support for cases of domestic violence and abuse within families.

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Anyone who is a victim or has knowledge of family violence is required to file a report with the family violence department.

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To fill out a report with the family violence department, you will need to provide detailed information about the incident, the individuals involved, any witnesses, and any evidence available.

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The purpose of the family violence department is to protect victims of domestic violence, hold perpetrators accountable, and provide resources and support to families in crisis.

What information must be reported on family violence - department?

Information that must be reported includes details about the incident, individuals involved, witnesses, any evidence available, and any history of violence or abuse.

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