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Report of Suspected Abuse and Neglect

About this Form

Form number: 335-44

Audience:  Contractors, MCPS Staff, Volunteers

Last revised: August 2015

INSTRUCTIONS: An oral report must be made immediately to Child Welfare Services, Montgomery County Department of Health and Human Services (DHHS), (commonly known as Child Protective Services (CPS)), at 240-777-4417. For vulnerable adults, call Adult Protective Services (APS), at 240-777-3000. If this is an emergency, call the Montgomery County Police Department (MCPD), at 911 or 301-279-8000 immediately. Complete and submit this written report within 48 hours.

IF THERE IS DOUBT ABOUT WHETHER TO REPORT ABUSE OR NEGLECT, ALWAYS ERR IN FAVOR OF MAKING THE REPORT.

MCPS employees, contractors, or volunteers may not interrogate or collect written statements from any alleged victim, witness, or offender.

Adobe PDF Report of Suspected Abuse and Neglect75 KEnglish
Adobe PDF Denuncia de Sospecha de Abuso y Negligencia61 KSpanish
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