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  • Mandated Reporter Statement Form - Los Rios Community College ... - Losrios

Get Mandated Reporter Statement Form - Los Rios Community College ... - Losrios

Los Rios Community College District Statement of Mandated Reporter Child Abuse and Neglect Reporting Law (Penal Code, 11166.5) Definitions: The following situations involving individuals under 18.

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How to fill out the Mandated Reporter Statement Form - Los Rios Community College online

Filling out the Mandated Reporter Statement Form is an important step for employees at Los Rios Community College involved in the reporting of child abuse and neglect. This guide provides a clear, step-by-step approach to help you complete the form accurately and confidently.

Follow the steps to complete the Mandated Reporter Statement Form effectively.

  1. Click the ‘Get Form’ button to access the Mandated Reporter Statement Form and open it for editing.
  2. Begin by indicating your employee type in the designated field. Options include adjunct, full-time faculty, management, regular classified, student employee, or temporary classified.
  3. Next, enter your name by printing it clearly in the provided space, ensuring it matches the name on your employment records.
  4. In the supervisor (witness) name area, print the name of the individual witnessing your signing of this statement.
  5. Sign the form where indicated to acknowledge your understanding of your responsibilities as a mandated reporter.
  6. If known, fill in your employee or student ID number in the appropriate field.
  7. Finally, enter the date of completion for the form and ensure all fields are filled out correctly.
  8. Once you have completed the form, save any changes you have made, and consider options to download, print, or share the document as needed.

Complete your Mandated Reporter Statement Form online today to fulfill your responsibilities accurately.

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What Is CACI? California's Child Abuse Central Index is commonly referred to as CACI. CACI is a list of suspected child abusers maintained by the California Department of Justice. It includes those suspected of physical abuse, sexual abuse, mental abuse, and severe neglect of a minor.

Reports of suspected child abuse or neglect shall be made by mandated reporters to any police department or sheriff's department (not including a school district police or security department), the county probation department (if designated by the county to receive mandated reports), or the county welfare department.

Investigated reports of child abuse are forwarded to the CACI. These reports contain information related to substantiated cases of physical abuse, sexual abuse, mental/emotional abuse, and/or severe neglect of a child.

“What Must be Reported to CACI?” The law requires child welfare agencies to make a CACI report to the CA DOJ whenever they substantiate an allegation of 1) physical abuse, 2) sexual abuse, 3) mental abuse, or 4) severe neglect.

Additional risk factors include a history of abuse or neglect as a child, physical or mental illness, family crisis or stress, unemployment, family isolation, and inadequate parenting skills.

California law REQUIRES certain persons to report known or suspected abuse of dependent adults or elders. As an employee or volunteer at a licensed facility, you are one of those persons - a “mandated reporter.”

In California Similarly, licensed child care providers in the state must take mandated reporter training within 90 days of employment, and every two years thereafter, as a condition of licensure.

Mandated reporters are required to report suspected abuse or neglect by phone as soon as possible and follow up with a completed written report (see link below for form) within two days.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232