ReportInfo_OtherSpecify
Specification of other information requested at time of report
Specification of other information requested at time of report
Other information requested at time of report
Information requested at time of report includes information known about ongoing or prior maltreatment of the child or child's siblings
Information requested at time of report includes family or household member's identifying information and other information, including contact information, developmental issues, domestic violence/family functioning
Information requested at time of report includes parent, guardian, or caregiver/caretaker's identifying information and other information, including contact information and developmental issues
Information requested at time of report includes reporter's identifying information and other information, including contact information and any actions taken by reporter to treat or assist the child
Information requested at time of report includes information about the alleged perpetrator, including contact information, relationship to alleged victim, prior cases suspected of causing maltreatment
Information requested at time of report includes the date of the suspected child maltreatment
Information requested at time of report includes information about the suspected type of child maltreatment, including type of child abuse or neglect, frequency, and severity of maltreatment
Information requested at time of report includes the child or family's location and contact information