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Get and Sign Dss 5228 Form
Abuse:
Emotional Abuse:
Sexual Abuse:
Delinquent Acts Involving
Moral Turpitude:
Human Trafficking
(Sexual):
Human Trafficking
(Labor):
Dependency:
Date of Case Decision:
Parent/Guardian/Custodian/Caretaker/Agency/
Foster Home/Group Care/Institution
Neglect:
Imp. Supervision
Improper Care
_____Improper Discipline
Environment Injurious
DV
SA
Abandonment
Safe Surrender
Improper medical/
remedial care
Violation of Adoption
Law
Perpetrator(s)
Relationship...
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