Get Child Fatality Intake Form - Infodhhsstatencus - Info Dhhs State Nc

Completing the child fatality intake form is a crucial step in documenting vital information regarding incidents of child fatalities. This guide will assist you in accurately filling out the form online, ensuring that all necessary information is collected responsibly and efficiently.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to access the document and open it in your editing interface.
2. Begin filling out the report taken by section. Input the date reported, your name as the reporter, and provide your telephone number. Include the name and position of the director or program manager overseeing the case.
3. In the deceased child or children section, enter the names and dates of birth for the children involved in the incident. If there are surviving children in the home, please list their names and dates of birth as well.
4. Detail the parent or caretaker information by providing their name and address. This information is essential for follow-up communication and investigation purposes.
5. List any other adults involved by including their names and addresses. Ensure to provide the county of residence in this section.
6. Specify the ages and race of the deceased children, as well as their gender. Include information on the status of the family's case at the time of the child's death, selecting from options such as open CPS investigation, prior screened-out report, or closed CPS case.
7. Provide details regarding prior child welfare services, including all screened-out reports and dates, alongside a brief description of the known circumstances surrounding the fatality.
8. Indicate the cause of death and the suspected manner of death. Note whether an autopsy was conducted and include the date and results if available.
9. Document the actions taken by the Department of Social Services (DSS) regarding the fatality, as well as any anticipated future actions.
10. List all professionals involved with this fatality, including their names, agencies, and contact telephone numbers. Additionally, include the names and agencies of anyone else who expressed concern about this incident.
11. Lastly, record any criminal charges that may relate to this case.
12. Once all sections are completed, save your changes to the document. You may choose to download, print, or share the completed form as needed.

Start filling out your child fatality intake form online today to ensure timely and accurate documentation.