Get Nc Dhhs 1432 2007-2025

The NC DHHS 1432 form, known as the State Child Fatality Review Protocol, is essential for reporting child fatalities related to maltreatment. This guide provides clear, step-by-step instructions for filling out the form online, ensuring that every user, regardless of their legal experience, can complete the process confidently.

Follow the steps to complete the NC DHHS 1432 online form successfully.

1. Press the ‘Get Form’ button to access the State Child Fatality Review form and open it in your browser for editing.
2. Fill in the 'Date Prepared' field with the current date.
3. Enter your name and contact details in the 'Prepared By' section, ensuring accuracy for follow-up.
4. Select your county from the dropdown list provided; this is mandatory for directing the report to the appropriate local agency.
5. Indicate the Assigned County CPR, identifying the Children's Program Representative in the county.
6. Complete the 'CPS Contact Person' section with the name and title of the person designated for child protective services communications.
7. Provide the 'Director/Program Manager' name to establish oversight.
8. Fill in the 'Telephone' and 'E-Mail Address' fields for direct contact.
9. In the 'Name of Deceased Child(ren)' section, include the child’s full name as it appears on legal documents.
10. Complete demographic details such as 'Race' and 'Gender', along with 'Date of Birth' and 'Date of Death' for accurate record-keeping.
11. If applicable, fill in details for 'Surviving Children in the Home', including their names and demographics.
12. Provide information about 'Parent/Caretaker' and any other adults involved, ensuring all relevant data is captured.
13. Outline the 'Status of Family’s Case at Time of Child(ren)’s Death' by selecting the appropriate options regarding prior involvement with DSS.
14. Describe the 'Known Circumstances of the Fatality', ensuring to detail any relevant events or indicators.
15. Indicate the 'Suspected Cause of Death' and note whether an autopsy was conducted.
16. Outline 'Actions Taken by DSS in Regard to the Fatality and Future Actions Anticipated' to provide context to the review.
17. List other professionals involved in the case for comprehensive evaluation.
18. Include any pending criminal charges related to the case.
19. Review all entered information for accuracy and completeness.
20. Save your changes, download a copy for your records, and print the completed form if necessary.

Complete your NC DHHS 1432 form online today to ensure timely and effective handling of child fatality cases.