Part 7: Other areas informed Line manager/CEO Date: / / Time: N/A informed: Yes No Child Protection Date: / / Time: N/A Agency contacted Yes No Police contacted: Date: / / Time: N/A Yes No Date: / / If contacted, police N/A investigation: Yes Underway Date: / / Case Coroner contacted: number: Yes N/A Other appropriate service/s contacted, Date: / Time: N/A If so, who? / Yes No __________________ Report quality checked: Yes No Signature of / / Manager: Forward completed incident report to the relevant DSS
Part 7: Other areas informed Line manager/CEO informed: Yes No Date: / / Time: N/A Child Protection Agency contacted Yes No Date: / / Time: N/A Police contacted: Yes No Date: / / Time: N/A If contacted, police investigation: Yes Underway Date: / / N/A Coroner contacted: Yes N/A Date: / / Case number: Other appropriate service/s contacted, If so, who? __________________ Yes No Date: / / Time: N/A Report quality checked: Yes No Signature of Manager: / / Forward completed incident report to the relevant DSS
intensive_family_support_service_operational_guidelines_november_2016.docx