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How to fill out the DCF 136 Fillable online
The DCF 136 Fillable form is a vital document for reporting allegations of serious physical or emotional injury due to abuse or neglect. This guide provides clear and supportive steps to assist you in accurately completing the form online.
Follow the steps to complete the DCF 136 Fillable form online.
- Press the 'Get Form' button to access the DCF 136 Fillable form and launch it in your online editor.
- Begin by filling in the section titled 'Children Reported.' Provide the names, current addresses, and birth dates for each child. Indicate their sex by selecting the appropriate option.
- Next, move on to the 'Parent or Guardian 1' section. Enter their full name, address, phone number, date of birth, primary language spoken, and ethnicity if known.
- Proceed to the 'Parent or Guardian 2' section. Similar to the previous step, fill in their details, including name, address, phone number, date of birth, primary language spoken, and ethnicity if known.
- In the 'Reporter / Report' section, select whether the report is mandatory or voluntary. Fill in the reporter’s full name and address, relationship to the child, and whether the caretaker has been informed about the report.
- Describe the nature and extent of the reported abuse or neglect. Include any prior evidence and cite the source of the information if it was not directly observed. Ensure to provide specific details on the circumstances surrounding the report.
- If applicable, list the names and contact information of those responsible for the abuse or neglect. Offer any additional information that may assist in understanding the situation better.
- Indicate any actions taken to assist the child or family, and provide information about the family’s strengths that can help in ensuring safety.
- Finally, add your signature to affirm the information provided is accurate. Review all completed sections for clarity and correctness before submission.
- Once completed, save your changes, download the form, print it if necessary, or share it as needed.
Complete your documentation online and contribute to ensuring child safety.
If you require an immediate response from DCF or law enforcement, or your concern of child maltreatment is of an urgent matter, please contact the DCF CARELINE at 1-800-842-2288, immediately. During the online process, you will be asked specific questions that will help guide your submission.
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