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The Child AbuseNeglect Reporting Law and instructions are explained on the back of this form.

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The number of children reported as abused or neglected has increased dramatically in Alabama.

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Copies of these forms are available on the ADPH Document Library in the Social Work Division section.

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SECTION I CHILDREN ALLEGEDLY ABUSED OR NEGLECTED NAME (First, Middle Initial, Last) SEX ETHNICITY DATE OF BIRTHAGE M F M F M F M F M F M F ADDRESS Street Address City State Zip.

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SECTION I CHILDREN ALLEGEDLY ABUSED OR NEGLECTED NAME (First, Middle Initial, Last) SEX ETHNICITY F M F M F M F M F M F DATE OF BIRTHAGE ADDRESS Street Address City State Zip Telephone Number.

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Please read the instructions before you fill out the form.

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A written report must also be submitted to the local DHR office.

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For your convenience, this form may be completed online and printed.

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Report Child Abuse and Neglect to Your County Department of Human Resources.

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A written report must also be submitted to the local DHR office.

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SECTION I CHILDREN ALLEGEDLY ABUSED OR NEGLECTED NAME (First, Middle Initial, Last) SEX ETHNICITY F M F M F M F M F M F DATE OF BIRTHAGE ADDRESS Street Address City State Zip Telephone Number.

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Copies of these forms are available on the ADPH Document Library in the Social Work Division section.

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Please read the instructions before you fill out the form.

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For suspect elderhandicapped adult abuse, form DHR-ASD-798 should be used.

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For suspect elderhandicapped adult abuse, form DHR-ASD-798 should be used.

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Your help is needed to ensure that these children receive adequate protection and services.

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SECTION I CHILDREN ALLEGEDLY ABUSED OR NEGLECTED NAME (First, Middle Initial, Last) SEX ETHNICITY F M F M F M F M F M F DATE OF BIRTHAGE ADDRESS Street Address City State Zip Telephone Number.

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Blank forms will be located in one of the mailboxes in the teachers workroom directly behind the main office.

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SECTION I CHILDREN ALLEGEDLY ABUSED OR NEGLECTED.

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SECTION I CHILDREN ALLEGEDLY ABUSED OR NEGLECTED NAME (First, Middle Initial, Last) SEX ETHNICITY F M F M F M F M F M F DATE OF BIRTHAGE ADDRESS Street Address City State Zip Telephone Number.

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The number of children reported as abused or neglected has increased dramatically in Alabama.

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The number of children reported as abused or neglected has increased dramatically in Alabama.

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SECTION I CHILDREN ALLEGEDLY ABUSED OR NEGLECTED NAME (First, Middle Initial, Last) SEX ETHNICITY DATE OF BIRTHAGE M F M F M F M F M F M F ADDRESS Street Address City State Zip.

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Report Child Abuse and Neglect to Your County Department of Human Resources.

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SECTION I CHILDREN ALLEGEDLY ABUSED OR NEGLECTED.

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For your convenience, this form may be completed online and printed.

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The Child AbuseNeglect Reporting Law and instructions are explained on the back of this form.

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SECTION I CHILDREN ALLEGEDLY ABUSED OR NEGLECTED.

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The Child AbuseNeglect Reporting Law and instructions are explained on the back of this form
form that can be filled out and faxed to DHR
Blank forms will be located in one of the mailboxes in the teachers workroom directly behind the main office
Blank forms will be located in one of the mailboxes in the teachers workroom directly behind the main office
For suspect elderhandicapped adult abuse, form DHR-ASD-798 should be used
For suspected child abuse, form DHR-DFC-1593 should be used
SECTION I CHILDREN ALLEGEDLY ABUSED OR NEGLECTED NAME (First, Middle Initial, Last) SEX ETHNICITY F M F M F M F M F M F DATE OF BIRTHAGE ADDRESS Street Address City State Zip Telephone Number