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PPS 1011 REV 10/12-Page 1 of 1 State of Kansas Department for Children and FamiliesChild Abuse and Neglect Central RegistryRelease of InformationPrevention and Protection ServicesChild Abuse and Neglect
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How to fill out child abuse and neglect

01
Start by gathering all the necessary information about the child and the incident of abuse or neglect.
02
Follow the guidelines provided by your local child protective services agency or relevant authorities.
03
Provide detailed and accurate information about the child, including their name, age, and physical description.
04
Document any signs or symptoms of abuse or neglect that you have observed or have been reported to you.
05
Include any relevant details about the alleged perpetrator, such as their name, relationship to the child, and contact information if known.
06
Describe the specific incident(s) of abuse or neglect in a clear and concise manner, providing dates, times, and locations if possible.
07
If applicable, provide any additional information about witnesses or other individuals who may have knowledge of the abuse or neglect.
08
Avoid making assumptions or speculations, and stick to the facts you have observed or have been informed about.
09
Ensure that your report is objective and unbiased, without exaggerations or personal opinions.
10
Submit the completed report to the appropriate child protective services agency or authorities as directed.

Who needs child abuse and neglect?

01
Child abuse and neglect reports are needed by child protective services agencies and relevant authorities.
02
Teachers, school administrators, and other educational professionals may need to report suspected cases of child abuse or neglect.
03
Healthcare providers, such as doctors, nurses, and therapists, may need to report instances of abuse or neglect that they become aware of through their work.
04
Social workers and child welfare professionals often receive reports of child abuse and neglect.
05
Law enforcement agencies may need to be informed about cases of child abuse or neglect.
06
Members of the community who suspect or witness child abuse or neglect may also need to make a report to protect the child's well-being.
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Child abuse and neglect refer to the physical, emotional, sexual abuse, or neglect of a child by a caregiver or parent that results in harm or the risk of harm to the child.
Mandated reporters such as teachers, healthcare professionals, social workers, and law enforcement officers are required to file reports of suspected child abuse and neglect.
To fill out a child abuse and neglect report, you typically need to provide details about the child, the suspected abuse or neglect, any relevant observations, and your contact information as the reporter.
The purpose of reporting child abuse and neglect is to protect children from harm, ensure their safety, and allow authorities to investigate and provide necessary interventions.
Information that must be reported includes the child's name and address, details of the suspected abuse or neglect, the perpetrator's information, and any immediate dangers to the child.
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