STATEMENT ACKNOWLEDGING REQUIREMENT …
soc 341a (3/15) statement acknowledging requirement to report suspected abuse of dependent adults and elders name position facility note: retain in employee/ volunteer file
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STATEMENT ACKNOWLEDGING REQUIREMENT …
www.cdss.ca.govLIC 9108 (3/05) PAGE 2 OF 2 SIGNATURE DATE WHERE TO CALL IN AND SEND THE WRITTEN ABUSE REPORT Reports of suspected child abuse or neglect must be made to any police department or sheriff's
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