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Home > The Role of Educators in Preventing and Responding to Child Abuse and Neglect > The Role of Educators in Preventing and Responding to Child Abuse and Neglect: Appendix E - Sample List of Contacts for Reporting Suspected Cases of Child Abuse and Neglect

The Role of Educators in Preventing and Responding to Child Abuse and Neglect
User Manual Series (2003)
Author(s):  Office on Child Abuse and Neglect., Caliber Associates.
Crosson-Tower
Year Published:  2003
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Appendix E
Sample List of Contacts for Reporting Suspected Cases of Child Abuse or Neglect


_________________________________________________________
Name of Local Education Agency

_________________________________________________________
Name of Local School

_________________________________________________________
Local School Address and Telephone Number

_________________________________________________________
Date Form Completed

1. Social Services Agency _____________________________________________________

Name: _______________________________________________________________

Address: _____________________________________________________________

_____________________________________________________________________

Contact Person(s): ____________________________________________________

Phone number for oral reports:___________________________________________

Phone number for verification of shelter order:_______________________________

2. Local Law Enforcement Department ________________________________________

Name: _______________________________________________________________

Address: _____________________________________________________________

_____________________________________________________________________

Contact Person(s): ____________________________________________________

Phone number for oral reports:___________________________________________



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