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Title:	Child Abuse Report Form 031015 - Fillable, REVISED.pdf
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Handle:	Document-64851
Owner:	Al Mansouri, Sukawt (User-2231, 08598:EVERETT)^DS
Create Date:	Thursday, March 19, 2015 02:47:21 PM PDT
Modified Date:	Monday, August 10, 2015 12:12:50 PM PDT
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Abstract:	District #2 Division of InstructionP.O. Box 2098 Everett, WA 98213 3421PCheck appropriate space indicating type of suspected abuse being reported: (Check ALL that apply)Child Abuse Report FormState law requires professional school personnel to report within 48 hours after there is a reasonable cause to believethat a child or dependent adult has suffered abuse or neglect. (Refer to District Policy and Procedure 3421) Student Legal Name: First Middle LastSchool: Grade: Age: M/F: DOB:Student Address:Street, Apar...
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Content Type:	Adobe Portable Document Format (.pdf) - application/pdf
File name:	Child Abuse Report Form 031015 - Fillable, REVISED.pdf
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Size:	547028
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Appears In:	The Scoop
Preferred Version:	Child Abuse Report Form 031015 - Fillable, REVISED.pdf