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Staff » DCF Mandated Reporting » Referral form instructions

Referral form instructions

error message The form is meant to be used in Adobe Reader. Per DCF you must download the form and then open it with Adobe Reader so it can be opened and populated. You cannot use a Chromebook, phone or iPad to use this form - it must be done from a Mac or PC.
1. To download the file, right-click on the link and save the file to your downloads.
2. Click the folder icon on the bottom left on your PC and locate your downloads folder, then double-click the file that you just saved (should be named DCFReferral.pdf with today's date) and it will open with Adobe Reader.  
folder icon on pc
downloads folder screenshot 
3. When the file is open you will see the instructions. You will need to check the box that says "I have read and understood my responsibility to the above" and then the form will open and you can populate it. pdf form screenshot
Once completed save a copy of the form - it will open the Save As option. Name the file so you do not overwrite the form template and save to the desired location. 
Effective December 5, 2018, the Department of Children and Families (DCF) is introducing electronic reporting that will be available to mandated reporters from school systems for non-emergent child abuse and neglect concerns.
The basis for this process is Public Act 18-67, which allows DCF to establish a pilot program to permit certain mandated reporters of child abuse and neglect to submit their reports electronically and, starting October 1, 2019, allows all such reporters, as well as other individuals, to submit reports of suspected child abuse or neglect in this manner. A mandated reporter who makes an electronic report pursuant to this section shall respond to further inquiries from the Commissioner or the Commissioner's designee made within twenty-four hours of such report.  Based on specific criteria, certain reports by a specific cohort of mandated reporters will serve as the Pilot Program.
DCF is committed to ensuring that there is a timely and responsive system to accept all calls concerning the safety and well-being of children. We recognize that the last few months have presented multiple challenges, largely due to the significant increase in the volume of calls and limitations to the phone system. To remedy these issues with recognition that call volume will remain high, the Department has been approaching improvements in a multipronged way, inclusive of staffing, needed enhancements to the phone system and maximizing advanced technology. While this effort serves as a pilot, we are confident it will improve the timeliness of reports and response time. We will be evaluating the effectiveness of this pilot to inform future development that will continue to roll out over the course of 2019 and look forward to your feedback.