Mandated Reporter Waiver

Mandated Reporter Acknowledgement Form
Acknowledgement: I understand that I am a Mandated Reporter and as such, must report to the authorities any suspected Child Abuse or Neglect.As a (Check One):
I am mandated by the Child Abuse and Neglect Reporting Act (CANRA) to report suspected child abuse. This means that if I develop a reasonable suspicion that Child Abuse or Neglect has occurred, I am mandated to report it to the proper authorities. Please acknowledge that you understand this.
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Mandated Reporter Acknowledgement Form