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Georgia Child Protective Services Mandated Reporter Form. A report can be made by calling 1-855-422-4453, 24 hours a day, 7 days a week, 365 days per year Governor. D. Jean Ortega-Piron. Acting Director. ACKNOWLEDGEMENT OF MANDATED REPORTER STATUS. I,. , understand that when I am employed as a. Georgia Child Protective Services Mandated Reporter Form. A report can be made by calling 1-855-422-4453, 24 hours a day, 7 days a week, 365 days per year Name and title of reporter: (Please type of print). Name: Title: Signature of reporter: Reporter contact information: Telephone number: Email address: Date:. The Elder Abuse Mandated Reporter Form is a form developed and maintained by the Executive Office of Elder Affairs. It is required only for Mandated Reporters 6 days ago New Form Digital, the three-year-old studio established by A company spokeswoman confirmed the layoffs to The Hollywood Reporter in a Massachusetts law requires mandated reporters to immediately make a report form); and. STEP 2: Completing and sending this written report to the local DCF ELDER ABUSE MANDATED REPORTER FORM. This form should be returned within 48 hours of the oral report, to the following Designated. Protective Service NAME OF MANDATED REPORTER. TITLE. MANDATED REPORTER CATEGORY. REPORTER'S BUSINESS/AGENCY NAME AND ADDRESS. Street. City. Zip.
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