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Get Reporter Information (required For Mandatory Reporters Of Child Abuse, Abandonment Andor Neglect F

At a time. By submitting them one at a time, they will likely get processed faster. REPORTER INFORMATION This information is required for mandatory reporters. Refer to Chapters 39 and 415, Florida Statutes. Today s Date: Your Last Name: Your First Name: Your Agency: Your Occupation: Address: Street # MI: Street Name: Fax #: City: Zip Code: Phone #: County: State: VICTIM INFORMATION If the victim is a child, list other children in the home. If the victim is an adult, describe disabil.

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