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

Filling out the Reporter Information section of the Florida Abuse Hotline Fax Transmittal Form is crucial for mandatory reporters dealing with concerns of child abuse, abandonment, and neglect. This guide will walk you through each component to ensure you complete the form accurately and efficiently.

Follow the steps to complete the Reporter Information section successfully.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Provide today's date in the designated field to indicate when the report is being submitted.
3. Enter your last name, followed by your first name, to identify yourself as the reporter.
4. List your agency in the respective field to specify the organization you represent.
5. Fill in your occupation to give context on your role and authority as a reporter.
6. Complete your address, including street number, street name, city, state, zip code, and county for verification purposes.
7. Provide your fax number and phone number for any follow-up communication.
8. If applicable, provide the victim's information, including their address, phone number, date of birth, sex, race, and social security number.
9. In the section regarding the alleged incident, give a clear and concise description, including what happened, when and where it occurred, the frequency of occurrences, and details about any injuries or threats.
10. For adult victims, describe any disabilities and how these impact their ability to care for themselves.
11. List any individuals who may be aware of the situation, including their names, relationships to the victim, and their contact information.
12. Review all entered information for accuracy before saving changes, downloading, printing, or sharing the completed form.

Complete your report online today, ensuring the safety and protection of vulnerable individuals.