Get What Mandated Reporters Need To Know About ...

This guide provides essential information for mandated reporters on how to properly fill out the 'What Mandated Reporters Need To Know About ...' form online. By following these steps, you can ensure that your report is complete and accurate, facilitating timely assistance for children in need.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the form and open it in your browser.
2. Begin with Section 1, Intake Information. Enter the date when you are completing the form. If you made a phone referral to MDHHS, indicate 'Yes' or 'No' and provide the Intake Identification Number if applicable.
3. Proceed to Section 2, Child Information. List each child suspected of being abused or neglected. Fill in their name, birthdate, Social Security Number, sex at birth, and gender identity. Attach additional sheets if necessary for more children.
4. In Section 3, Primary Caregiver Information, provide the name, sex at birth, gender identity, birthdate, race, relationship to the children, and ethnicity of the primary caregiver. Follow that with their street address, city, state, zip code, and phone number.
5. Continue to Section 4, Alleged Perpetrator Information. Enter the alleged perpetrator's name, sex at birth, gender identity, birthdate, race, street address, city, state, zip code, phone number, and relationship to the children.
6. In Section 5, Abuse/Neglect Information, document when the abuse or neglect occurred, the address where it occurred, and provide a detailed description of the suspected abuse or neglect.
7. Move to Section 6, Reporting Source Information. Enter your name, organization name, street address, city, state, zip code, and phone number. If applicable, provide the additional reporting source information as well.
8. If applicable, fill out Section 7, to be completed by medical personnel. Include information on physical examination summaries, injuries present, conclusions about the context of the injuries, and history of previous abuse or neglect.
9. After completing all relevant sections, review the form for accuracy. Save your changes, and choose your preferred method for submission by mailing it to the Centralized Intake address, faxing it, or emailing it.

Complete the reporting process online to ensure children's safety and wellbeing.