Doing What’s Best for Kids

Students AP 325 - Form 325-1: Report Regarding Suspected Abuse/Neglect

1. Alleged

 Psychological Neglect:Physical Abuse:Criminal Harrasment Abuse: Emotional Abuse: Sexual Abuse: Other (i.e. Prostitution or Substance Abuse):

2. Specific Concerns and Observations:

3. Information

4. Reporting
Child Youth and Family Enhancement Act Section 4(1) states "any person who has reasonable and probable grounds to believe that a child is in need of intervention shall forthwith report the matter to a Director"


Principal's Signature:

7.   Attach notes summarizing subsequent contacts and disposition if known.