Get Child Welfare Agency Public Disclosure Form

Filling out the Child Welfare Agency Public Disclosure Form online can be a straightforward process when approached step by step. This guide will provide clear instructions to help users complete the form with ease and confidence.

Follow the steps to fill out the form accurately and completely.

1. To begin, locate and click the ‘Get Form’ button to access the form online. This action will open the form in an editable format for you to complete.
2. Start by entering the agency name and address at the designated fields. Include the Washoe County Department of Social Services as the agency name, followed by the provided address.
3. Indicate the date of written notification to the Division of Child and Family Services and Legislative Auditor. This will be the date clearly outlined in the document.
4. In the next section, specify the internal reference UNITY ID or report number, including details such as Report #1585842 and Case #1386356.
5. Select the type of report you are filing from the available options: 48 Hour Notice, 15 Day Update, 30 Day Update, or Final.
6. Input the date of death or near fatality as required, using the format provided in the document.
7. For the next section, enter the details regarding the child's fatality or near fatality. Include the relevant dates and circumstances as outlined.
8. Provide information for release, including the notification dates to the child welfare agency and the location of the child at the time of the incident.
9. Summarize the report details as well as any prior contact with the child or the child’s family, including the frequency and nature of that contact.
10. If applicable, describe any actions the agency has taken in response to the fatality or near fatality.
11. Review the non-disclosure notice section carefully to ensure that you respect the sensitive information that must not be released.
12. Once all sections are filled out accurately, you can save your changes, download, print, or share the completed form as required.

Complete the Child Welfare Agency Public Disclosure Form online to ensure that necessary information is accurately reported.