CPS FORM | HHWC

top of page

Use tab to navigate through the menu items.

Button

Time

Date

Incident Date

Schools

CPS Worker

Child(ren) Name(s)

Incident Info/Details

Please select all applicable categories

Domestic Violence

Sexual Abuse

Neglect

Physical Abuse

Emotional Abuse

Safety Plan

Voluntary Plan

Other

If other, please specify

Information needed to be shared with School Personnel

Thanks for submitting!

Proudly created by

Melinda Alic - four::dot design

Findlay Police Dept.

419-424-7150

Hancock County Sheriff

419-422-2424

HANCO EMS

419-422-3838

bottom of page