Get Ct Dcf-136 2015-2025

Filling out the CT DCF-136 form is an essential process for reporting suspected child abuse or neglect in Connecticut. This guide provides you with clear instructions to complete the form accurately and efficiently, even if you have little legal experience.

Follow the steps to fill out the CT DCF-136 form online.

1. Press the ‘Get Form’ button to access the CT DCF-136 and open it in your preferred editor.
2. Begin by inputting the child's name in the designated field. Make sure to provide the full name to avoid any confusion.
3. Next, fill in the age or date of birth of the child. This information is crucial for identifying the child's profile.
4. Indicate the race of the child by selecting one of the options provided. If the race is not listed, use the 'Other' field to specify.
5. Document the names of the parents or other individuals responsible for the child's care, including their addresses if known.
6. Identify the Careline worker by entering their name to whom the oral report was made. Include the date of the oral report as well.
7. If known, specify the name and contact details of the suspected perpetrator. Provide any information that may aid in the investigation.
8. Fill in the child's address and phone number, followed by the date and time of the suspected abuse or neglect incident.
9. Describe the relationship of the suspected perpetrator to the child in the corresponding field.
10. Detail the nature and extent of any injuries, maltreatment, or neglect the child has encountered.
11. Provide a thorough description of the circumstances regarding how the injuries or maltreatment became known.
12. Explain the reasons for suspecting the individual(s) of causing the abuse or neglect.
13. Include information on any previous injuries, maltreatment, or neglect the child or their siblings may have experienced.
14. Indicate if there have been prior cases involving the suspected individual(s) causing injury or maltreatment.
15. List the names and ages of any siblings if known.
16. Specify any actions that have been taken to treat, shelter, or assist the child after the incident.
17. Complete the reporter section by entering your name, agency, phone number, and position. Sign the document.
18. After reviewing all the information for accuracy, you may save your changes, download the form, print it for mailing, or share it as needed.

Complete the CT DCF-136 form online today to ensure the protection of children in your community.