Get Appendix F: Sample Report Of Suspected Child Abuse And Neglect - Childwelfare

Filling out the Appendix F report for suspected child abuse and neglect can be a crucial part of ensuring the safety and well-being of children. This guide will provide you with comprehensive and user-friendly instructions to help you navigate the form effectively.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the report and access it in the editor.
2. Provide the date of the call and the names of the individuals you communicated with regarding the suspected abuse. This section ensures that there is a record of who was informed and when.
3. Enter the name of the designee, such as the principal or school social worker, who has been notified of the situation. Include the date of notification.
4. Complete the section concerning the child by filling in their last name, first name, middle initial, address, city, state, ZIP code, telephone number, age, and birth date. Accurate information is essential to identify the child involved.
5. Record the details of the person or people responsible for the child's care, including their relationship to the child, address, telephone number, and any other relevant information.
6. Specify with whom the child lives and the relationship they have to the child. This information aids in understanding the child’s living situation.
7. Identify the person or people suspected of abuse or neglect, including their relationship to the child, address, telephone number, and any other pertinent details.
8. Select the appropriate type of suspected abuse being reported by checking the relevant box for physical injury, sexual abuse, emotional neglect/abuse, physical neglect, or other. This categorization helps in guiding the response needed.
9. Provide a detailed account of the current injury, neglect, or sexual abuse, including the circumstances that led to the suspicion that the child is a victim.
10. Include information about any previous injuries, sexual abuse, or neglect the child or other children in the family may have experienced, along with any previous actions taken.
11. State any other information that may help establish the cause of the child’s current status.
12. Conclude by providing your signature, title, and date of the report. Ensure that the report is distributed to the relevant local social services or law enforcement agency.
13. Finally, review all entered information for accuracy, save your changes, and you may choose to download, print, or share the completed form as needed.

Take action now to ensure the safety of a child by completing the report online.