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Any allegation of serious physical or emotional injury resulting from abuse and/or neglect to the Department of Children and Families by: 1. Immediately reporting by oral communication; and 2. Completing and sending this written report to the appropriate Department of Children and Families office within 48 hours of making the oral report. For more information about requirements for mandated reporters and filing a report of alleged abuse and/or neglect please see A Guide for Mandated Reporters a.

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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.

  1. Press the 'Get Form' button to access the DCF 136 Fillable form and launch it in your online editor.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. Indicate any actions taken to assist the child or family, and provide information about the family’s strengths that can help in ensuring safety.
  9. Finally, add your signature to affirm the information provided is accurate. Review all completed sections for clarity and correctness before submission.
  10. 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.

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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.

DCF employees are state actors. This means that as a private citizen, if DCF is at your home and asking to enter and speak with your children you can refuse. You can allow DCF to look at your children, but do not let them question your children or you until you have spoken with an attorney.

Reports must be made within twelve hours of the moment the practitioner suspects the abuse/neglect has occurred. Suspected child maltreatment of any kind, regardless of the identity of the alleged perpetrator must be reported.

HOW TO REPORT. Reporters must report orally to the Department of Children and Families' (DCF) Careline or a law enforcement agency within 12 hours of suspecting that a child has been abused or neglected and must submit a written report (DCF-136 form) to DCF within 48 hours of making the oral report.

Careline. 1-800-842-2288. Within forty-eight hours of making an oral report, a mandated reporter shall submit this form (DCF-136) to the relevant Area Office listed below.

Individuals who have reason to suspect that a child is being abused or neglected should make a report to the Department of Children and Families (DCF) at the toll-free, 24 hour Child Abuse and Neglect Careline (1-800-842-2288).

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