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Executive Order 1083: Attachment D - Child Abuse Reporting Form

Form: 
PDF icon attachment_d_-_general_reporters_acknowledgment.pdf [1]
Department: 
Human Resources and Academic Personnel Services
Format: 
PDF

California law requires certain people, known as "Mandated Reporters," to report known or suspected child abuse or neglect. You have been identified as a Mandated Reporter (General Reporter). As a General Reporter, you are required by the law to sign this statement acknowledging your legal reporting obligations.

Source URL: https://forms.humboldt.edu/executive-order-1083-attachment-d-child-abuse-reporting-form

Links
[1] https://forms.humboldt.edu/sites/default/files/attachment_d_-_general_reporters_acknowledgment.pdf