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SUSPECTED CHILD MALTREATMENT REPORTING FORM DATE: OF INCIDENT:___SUSPECTED:___ Physical Abuse ___ Sexual Abuse___Neglect___Other ___REPORT BY:___ AGENCY:___ DATE:___ ADDRESS: ___ZIP CODE: ___FAX:
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01
Gather all necessary information such as the child's name, age, and any witnesses to the maltreatment.
02
Document the specific details of the maltreatment including the type of abuse, when it occurred, and the severity of the harm caused.
03
Include any relevant medical records, photographs, or other evidence of the maltreatment.
04
Fill out the appropriate forms or reports required by your organization or the authorities, making sure to provide complete and accurate information.

Who needs child maltreatment facts at?

01
Child protective services agencies
02
Law enforcement agencies
03
Medical professionals
04
Social workers
05
Legal professionals involved in child welfare cases
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Child maltreatment facts are information related to cases of abuse, neglect, or exploitation of children.
Professionals such as teachers, doctors, social workers, and law enforcement officials are required to file child maltreatment facts.
Child maltreatment facts are typically filled out by documenting the details of the abuse or neglect incident, including the child's name, age, and the nature of the maltreatment.
The purpose of child maltreatment facts is to ensure the safety and well-being of children by documenting and reporting instances of abuse or neglect.
Information such as the date, time, and location of the incident, the names of individuals involved, and any evidence or witnesses should be reported on child maltreatment facts.
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