51a Form - Report Of Child(Ren) Alleged To Be Suffering From Serious Physical Or Emotional Injury By Abuse Or Neglect Page 2
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2What is the nature and extent of injury, abuse, maltreatment or neglect? Please list any prior evidence of same and/or other worries regarding
danger to the child(ren). (Please cite the source of this information if not observed firsthand.)
If known, please provide the name(s) and contact information of the person(s) responsible for the injury, abuse, maltreatment or neglect and/or
any other information that you think might be helpful in establishing the cause of the injury, abuse, maltreatment or neglect:
What are the circumstances under which the reporter became aware of the injury, abuse, maltreatment or neglect? Please include information
on dates and timeframes for when the injury, abuse, maltreatment or neglect occurred:
What action has been taken thus far to treat, shelter or otherwise assist the child(ren) to deal with the situation?
If report involved alleged domestic violence, please list any information that will help DCF make safe contact with the family (e.g., work
schedule, place of employment, daily routines for the adult victim):
Please provide any information about the family’s strengths and capacities that you think will be helpful to DCF in ensuring the child’s safety
and supporting the family to address the abuse and/or neglect concerns:
Signature of Reporter: _______________________________________________________________________________________________
Weekdays from 9:00 am to 5:00 pm call the local DCF Area Office.
To report child abuse and/or neglect:
Weekdays after 5:00 pm and 24 hours on weekends and holidays call the
Child-At-Risk-Hotline 1-800-792-5200
DCF AREA OFFICES
Western Region
Northern Region
Southern Region
Boston Region
Greenfield
413-775-5000
Lowell
978-275-6800
Arlington
781-641-8500
Dimock Street, Roxbury 617-989-2800
Holyoke
413-493-2600
Framingham
508-424-0100
South Weymouth
781-794-4400
Hyde Park
617-363-5000
Springfield
413-452-3200
Haverhill
978-469-8800
Cape Cod & Islands
508-760-0200
Harbor, Chelsea
617-660-3400
Park Street, Dorchester 617-822-4700
Robert Van Wart Center 413-205-0500
Lawrence
978-557-2500
Plymouth
508-732-6200
East Springfield
Cambridge/Somerville
617-520-8700
Fall River
508-235-9800
Worcester, East & West 508-929-2000
Malden
781-388-7100
New Bedford
508-910-1000
Whitinsville
508-929-1000
Cape Ann, Salem
978-825-3800
Brockton
508-894-3700
Leominster
978-353-3600
Lynn
781-477-1600
Taunton/Attleboro
508-821-7000
Pittsfield
413-236-1800
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