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This document is a confidential report form for suspected child abuse within the Roseburg Public Schools district. It provides a structured format for reporting concerns regarding child abuse, including essential information needed for reporting to relevant agencies. The form outlines necessary details such as the reporting date, personal information of the pupil, parent, and a brief statement of concerns.
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How to fill out suspected child abuse report

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How to fill out suspected child abuse report

01
Begin by gathering all relevant information about the child, including their name, age, and address.
02
Document details about the suspected abuse, including the date, time, and location of the incidents.
03
Note the nature of the suspected abuse, specifying whether it is physical, emotional, or sexual.
04
Include any information regarding the suspected perpetrator(s), such as their name and relationship to the child.
05
Record any observations or evidence that supports the suspicion of abuse.
06
Provide your contact information and relationship to the child (e.g., neighbor, teacher).
07
Review the report for accuracy and completeness before submitting it to the appropriate authorities.

Who needs suspected child abuse report?

01
Child protective services or law enforcement agencies need suspected child abuse reports to investigate and ensure the child's safety.
02
Teachers, healthcare providers, and social workers are mandated reporters and need to file these reports if they suspect child abuse.
03
Concerned family members or community members may need to submit a report if they believe a child is in danger.
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A suspected child abuse report is a formal document submitted to the appropriate authorities when there is reasonable belief that a child has been subjected to abuse or neglect.
Individuals who are mandated reporters, such as teachers, doctors, social workers, and law enforcement personnel, are required to file a suspected child abuse report.
To fill out a suspected child abuse report, you should provide detailed information about the child, the alleged perpetrator, the nature of the suspected abuse, and any evidence or observations that prompted the report.
The purpose of a suspected child abuse report is to initiate an investigation into the claims of abuse or neglect to ensure the safety and well-being of the child.
The report must include the child's name, age, and address; the name and address of the suspected perpetrator; details of the suspected abuse; and any other relevant information that may assist in an investigation.
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