WebSuspected Child Abuse or Neglect (DHS-3200) form when filing the written report, which includes all the information required under the law. If more than one mandated reporter suspects child abuse or neglect based upon the same incident, they may submit just one DHS-3200 form. Confidentiality of a Mandated Reporters' Identity WebMandated reporters shall make an immediate report to CI by telephone or through the online reporting system, of suspected child abuse or child neglect. Within 72 hours after making an oral report by telephone, the reporting person shall file a written report (DHS-3200). If the immediate report has been made using the online reporting system, no ...
Forms & Documents - Arkansas Department of Human Services
WebDownload DHS-3200. Within 72 hours of the call to Centralized Intake, you must also complete and submit a "3200 form" (DHS-3200) which you can download using the button on the left. Be sure to enter the Log Number where indicated on the top of the DHS-3200 form. Instructions for submitting the form by mail, email or fax are printed on the form. WebKeep to the step-by-step instructions listed below to eSign your 3200 form: Select the form you would like to sign and click on the Upload button. Hit the My Signature button. Decide on what type of eSignature to make. You will find 3 variants; an uploaded, typed or drawn signature. Make your e-autograph and click on Ok. north carolina budget tax center
Forms and Applications - Tennessee
WebOR. Fax this form to 616-977-1154 or 616-977-1158. Or email this form to [email protected]. 1. Date – Enter the date the form is being completed. 2. List child (ren) suspected of being abused or neglected – Enter available information for the child (ren) believed to be abused or neglected. WebMail this form to: Centralized Intake for Abuse & Neglect. 5321 28th Street Court S.E. Grand Rapids, MI 49546. OR. Fax this form to 616-977-1154 or 616-977-1158. Or … WebArkansas DHS Criminal Background Check Request Form; Out-of-State Background Checks; Child Care Licensing Support. Child Care Licensing Alarms; Division … how to request ein verification letter