SUSPECTED CHILD ABUSE/NEGLECT REPORT FORM

Any employee of the schools of AOS 98, The Rocky Channel School District, who suspects that a child has been or is likely to be abused or neglected (the "notifying person") must immediately notify the building principal using this form. The purpose of this form is to document your reporting and to facilitate confirmation to you that the building principal or other designated school official has made your report to the Department of Health and Human Services (DHHS) or, as appropriate to the District Attorney.

If you have not received written confirmation within 24 hours of submitting this form to the building principal, you must make your own report to DHHS or, if appropriate, to the DA.

DHHS 1-800-452-1999

Adopted: 9-11-2017