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Statement Acknowledging Requirement To Report Child Abuse ...

Page 1 of 3 STATEMENT ACKNOWLEDGING REQUIREMENT TO REPORT CHILD ABUSE AND NEGLECT [USE FOR LIMITED REPORTERS ONLY] FOR VOLUNTEERS INSTRUCTION FOR HUMAN RESOURCES: Provide this form, as well as Attachments A and B of Executive Order 1083 Revised July 21, 2017, to employees who are identified as Limited Reporters

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