TIPS FOR COMPLETING CFSA ABSENTEEISM REPORTING FORM
This form may be used to report suspicions of educational neglect. All other suspicions of abuse or neglect must be reported through the Hotline at 202-671-SAFE (7233)
DO NOT USE THIS FORM IF YOU SUSPECT THAT A CHILD IS IN IMMEDIATE DANGER.
Call 911 or the Hotline.
•This form may be used to report concerns of educational neglect for children between the ages of 5 and 17 years old. Any other suspicions of abuse or neglect should be reported to the Hotline at 202-671-SAFE (7233). •Use one form per family. Do not use the same form to report children from different families. •Please identify all children in the family/ household that are known (even if you are not reporting attendance concerns for the other child(ren). •Please fill out the form completely and provide an answer for each requested response. •ALL REPORTS MUST INCLUDE A COPY OF ATTENDANCE RECORDS, REPORT CARD AND ALL OTHER SUPPORTING DOCUMENTS. •Questions or concerns should be directed to the Triage Supervisor- Joseph Osiecki (202)727–7807 firstname.lastname@example.org