Elevate Kids Child Abuse Reporting Form

Instructions: If a volunteer or staff member hear about or observe signs or symptoms of abuse, please: (1) Talk immediately with the pastor overseeing the Kids/Student Ministry; and (2) document any relevant information on this form.
This report should include signs or symptoms observed, notations about bruises or injuries that are visible, a summary of what the child said, and a description of any emotions expressed by the child. Do not go back and interview the child. Fill this form out based on whatever information has already been obtained.
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