Get Cy 47 Form Printable

The Cy 47 Form Printable is a crucial document used to report suspected child abuse under the Child Protective Service Law. Accurately completing this form is essential for ensuring the safety and well-being of the child involved. This guide will provide you with clear, step-by-step instructions for filling out the form online.

Follow the steps to complete the Cy 47 Form Printable online

1. Press the ‘Get Form’ button to access the form and open it in the editor.
2. In the first section, fill in the name of the child using their last name, first name, and middle initial. Include their social security number, birthdate, and gender.
3. Provide the child's address, including city, state, and ZIP code. If the present location is different, fill out section 1A with the corresponding information.
4. Next, enter the details of the biological/adoptive mother in section 2, including their name, social security number, birthdate, address, telephone number, and county.
5. In section 3, complete the same information for the biological/adoptive father.
6. For section 4, document any other person responsible for the child, again including their name, social security number, birthdate, relationship to the child, gender, address, and telephone number.
7. Section 5 requires details about the alleged perpetrator, including their name, social security number, birthdate, relationship to the child, gender, address, telephone number, and employer information.
8. In section 6, outline the family household composition, listing the names and relationships of other household members.
9. Provide the address where the suspected abuse occurred, and describe the nature and extent of the suspected child abuse in detail.
10. Indicate the date of the incident and any actions already taken or planned in section 7.
11. Detail any safety concerns and risk factors in section 8, covering the child’s and caregivers’ physical and behavioral health.
12. Finally, complete the reporting source section by entering your printed name, signature, date of the report, your address, title or relationship to the child, facility or organization, telephone number, and email address.
13. Once you have filled out all the necessary fields, review the form for accuracy. You can then save your changes, download, print, or share the completed form.

Start filling out the Cy 47 Form Printable online today to ensure prompt reporting and child protection.