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Form 8752 for Santa Clara California: What You Should Know
REASON: Please print, or type, the case name found on the form. If no case name is found, enter one that is similar to the one shown on the form, such as “Case 1-C.” Name in Case 1-C. (If other than name given to Mandated Child Abuse Witness.) Date of birth. (Odd year, even if earlier in time of event.) Name in Case 1-C. (If other than name given to Mandated Child Abuse Witness.) Address. Name in Case 1-C. (If other than name given to Mandated Child Abuse Witness.) Phone Number. Name in Case 1-C. (If other than name given to Mandated Child Abuse Witness.) City, State, Zip code. Name in Case 1-C. (If other than name given to Mandated Child Abuse Witness.) Mailing address. What you report. You must report to the following: Any suspected child abuse, as defined in Section 11167 or Section 11172 of the Penal Code. Any other crime, event, or other circumstances which reasonably indicate that a child is likely abused. When you submit the form, you must provide: Your full name. (Odd name does not allow you to use this if you are a mandated reporter.) Your full address. (Odd, even if older than 65 years of age.) Your full email address (or else you can choose to use your cell phone number), except on forms when not a mandated reporter. If you do not provide this information the form will not be accepted. The mandated reporter will sign the form, which allows the mandated reporter to report and identify for future cases. If the perpetrator is unknown, the FBI will fill the form and then give it to the Sheriff or other police official. In the event you or a mandated reporter are identified as a victim in a case, you will not be required to pay a report fee to the mandated reporter. Mandated Reporter Not Required to Pay a Mandatory Report Fee. In the case you or a mandated reporter are not required to pay a report fee, you can include an address which you wish to contact for further information and assistance and to help ensure prompt processing of your report.
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