North Dakota mandated reporters, including physicians, nurses and other medical professionals, can report suspected child abuse or neglect verbally or in writing; SFN 960 is the written version. The one-page fillable form (9-2025) goes to Child Protection Services under NDCC 50-25.1, which assesses the report and decides whether services are needed to protect and treat the child.
The reporter completes the child, parent or caretaker, subject and narrative sections and signs; the Agency Use Only block at the bottom is for CPS intake. Entities with more than 25 mandated reporters may name a designated agent to file for staff.
Download the current version from the source each time; forms change without notice.
Report of Suspected Child Abuse or Neglect
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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ND HHS lists no online form for child abuse. Reports go verbally to the statewide reporting line, staffed weekdays from 8 a.m. to 5 p.m. Central Time, or in writing on SFN 960, faxed to the CPS Central Intake Unit or delivered to the local human service zone office.
Yes. An entity employing more than 25 mandated reporters may appoint a designated agent. The agent's report must list the name, title and contact information of each staff member or volunteer with direct knowledge, and that single report meets their requirement. Individuals may still report directly.