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L.I. Child and Family Development Services, Inc. 98 Austin Street, Pathogen, NY 11772 (631) 758-5200 FAX (631) 207-3129 CHILD PROTECTIVE SERVICE REFERRAL FORM Center: Family Case #: Date CPS Hotline
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How to fill out cps referral form 2010

How to fill out CPS referral form 2010:
01
Start by gathering all the necessary information: You will need to provide details about the child or children involved, including their names, ages, and contact information. You may also need to gather information about the alleged abuse or neglect and any witnesses or individuals involved.
02
Identify the appropriate authority: Determine which agency or department is responsible for handling child protection services in your area. This information can usually be found on the form or through a quick internet search.
03
Obtain a copy of the CPS referral form: Contact the relevant agency or department to request a copy of the CPS referral form. This form may be available online, or you may need to visit their office in person to obtain a physical copy.
04
Read the instructions: Carefully review the instructions provided with the form. These instructions will guide you through the process of filling out the form correctly and providing all the necessary information.
05
Provide details about the child: Begin by filling out the child's personal information, including their full name, date of birth, and any identifying information, such as a social security number.
06
Describe the alleged abuse or neglect: Clearly and concisely describe the alleged abuse or neglect. Provide specific details about the incident or incidents, along with any supporting evidence or information you may have.
07
Include information about witnesses or individuals involved: If there were any witnesses present or individuals involved in the alleged abuse or neglect, provide their names, contact information, and any relevant details about their involvement.
08
Sign and date the form: Once you have completed all the necessary sections, sign and date the CPS referral form. This confirms that the information provided is accurate to the best of your knowledge.
Who needs CPS referral form 2010?
The CPS referral form 2010 is typically required by individuals who have firsthand knowledge or suspicion of child abuse or neglect. This form is used to report such incidents to the appropriate child protection services agency or department. Teachers, healthcare professionals, social workers, law enforcement personnel, and any concerned individual who believes a child may be in danger or experiencing harm should use this form to make a report. The form helps ensure that all the necessary information is provided to enable a thorough investigation and appropriate intervention.
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What is cps referral form?
The CPS referral form is a document used to report suspected child abuse or neglect to Child Protective Services.
Who is required to file cps referral form?
Anyone who suspects child abuse or neglect is required to file a CPS referral form.
How to fill out cps referral form?
To fill out a CPS referral form, one must provide detailed information about the suspected abuse or neglect, as well as information about the child and the family.
What is the purpose of cps referral form?
The purpose of the CPS referral form is to facilitate the investigation of suspected child abuse or neglect, and to ensure the safety and well-being of the child.
What information must be reported on cps referral form?
The CPS referral form must include information about the child, the suspected abuse or neglect, and any relevant family or caregiver information.
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