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Written Report Form for Mandated Reporters of Child Abuse Neglect Mobile App

The Written Report Form for Mandated Reporters of Child Abuse Neglect mobile app provides an efficient way to file child abuse and neglect reports using a smartphone or tablet.

Designed for social workers, members of law enforcement and mandatory reporters, the app helps ensure that all suspected child abuse gets reported to the proper authorities. The child abuse reporting app covers important incident details, including the child's age, signs of maltreatment, emotional abuse signs and other information.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Written Report Form for Mandated Reporters of Child Abuse Neglect Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    Confidential Department of Children and Family Services/Child Welfare Written Report Form for Man...

  • Ico statictext

    Children’s Code, Article 610 D.

  • Ico statictext

    Use: This form is available for you to use to make a written report of child abuse and/or neglect...

  • Ico statictext

    abuse/neglect.

  • Ico statictext

    This Written Report is

  • Ico checkbox

    Initial Written Report to DCFS

  • Ico checkbox

    Report to Law Enforcement

  • Ico checkbox

    Follow-up to oral report to DCFS on:

  • Ico date

    (Date)

  • Ico textbox

    to (Parish)

  • Ico statictext

    Is there any danger to a worker?

  • Ico checkbox

    None known

  • Ico checkbox

    Yes

  • Ico textbox

    Yes, Explain

  • Ico textbox

    Name:

  • Ico date

    DOB:

  • Ico integer

    Age:

  • Ico textbox

    Race:

  • Ico dropdown

    Sex:

  • Ico multiline

    Home Address:

  • Ico textbox

    Telephone:

  • Ico textbox

    Parents/Caretakers Names:

  • Ico textbox

    Name: (Children & Adults if known)

  • Ico integer

    Age:

  • Ico textbox

    Race:

  • Ico textbox

    Name:

  • Ico textbox

    Relationship to Child:

  • Ico multiline

    Suspected Perpetrator’s Address:

  • ...and More!

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