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Get Ia Form 470-0665 2011-2025
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How to fill out the IA Form 470-0665 online
Understanding how to accurately complete the IA Form 470-0665 is essential for reporting suspected child abuse. This guide will provide you with clear, step-by-step instructions to help you navigate the form with ease and ensure proper submission.
Follow the steps to fill out the IA Form 470-0665 online.
- Click the ‘Get Form’ button to obtain the form and open it for editing.
- Begin by entering the family information. Fill in the child's name, age, address, city, date of birth, school, grade level, and contact phone numbers. Additionally, provide the name and address of the parent or guardian if it differs from the child's address.
- List details of any other children in the home by inputting their names, birth dates, and any relevant conditions.
- In the section labeled 'Information about suspected abuse,' indicate the date of the suspected abuse, describe its nature, extent, and cause. Identify the persons believed to be responsible for the abuse and mention any evidence of previous abuse. Use the additional space available, if necessary, for complete information.
- Provide reporter information by filling out your name, title or position, office address, and contact phone number. Indicate your relationship to the child and list the names of other mandatory reporters who are aware of the abuse.
- Once you have filled out all sections, ensure all information is accurate. Finally, sign and date the report to confirm its authenticity.
- After completing the form, you have the option to save your changes, download, print, or share the completed form for submission.
Complete your IA Form 470-0665 online today for efficient reporting.
The mandatory reporting law in Iowa requires certain professionals, such as teachers and healthcare workers, to report suspected cases of child abuse or neglect. These individuals are legally obligated to report their suspicions to the DHS rather than conduct their investigations. By using the IA Form 470-0665, reporters can ensure their submissions meet legal requirements and provide comprehensive information.
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