West Virginia's Bureau for Social Services takes reports of suspected child abuse or neglect through Centralized Intake, and this online form is the written route. Under WV Code 49-2-803, mandated reporters, including medical, dental and mental health professionals, must report within 24 hours of suspecting abuse or neglect. The report reaches the intake team only after the reporter verifies it by email.
The mandated reporter or any concerned person completes the whole online form, covering the victims and household members, the suspected abuse or neglect, protective caregivers, the perpetrator's access, family functioning and safety threats to responders.
Download the current version from the source each time; forms change without notice.
Centralized Abuse and Neglect Form (online child abuse/neglect report)
This form is completed online with West Virginia Department of Human Services, Bureau for Social Services, Centralized Intake, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
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The Centralized Intake team does not receive the report until the reporter clicks the verification link emailed after submission. Check for that email and complete the step; reporters who have verified before can skip it. For imminent danger, call Centralized Intake rather than relying on the online form.
No more than 24 hours after suspecting abuse or neglect, under WV Code 49-2-803. A reporter may delay only while removing themselves or the children from greater risk of serious harm, and must then report as soon as practical. Serious physical abuse also goes immediately to the State Police.