Forms and Policies

This form must be completed in full in order to meet the requirement of notifying the Director of Child and Family Services of abuse allegations, per The Child and Family Services Act, Section 18(6) " Where an agency receives information that a child was or might have been abused by a person who provides work for or services to the agency or to a child care facility or other place where a child has been placed by the agency, the agency shall, in addition to carrying out its duties under subsection 18.4(1) and section 18.5, immediately report the matter to the director and the director shall investigate the matter and take such further steps as are required by this Act, prescribed by regulation, or as the director considers necessary.  This is an internal form that is filled out by agencies when reported abuse allegations.