DA Form 7317-2 Child Abuse/Safety Violation Hotline 90-day Follow-Up Information

DA Form 7317-2 - also known as the "Child Abuse/safety Violation Hotline 90-day Follow-up Information" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 7317-2 - was last revised on October 1, 2003. Download an up-to-date fillable PDF version of the DA 7317-2 below or request a copy through the chain of command.

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CHILD ABUSE/SAFETY VIOLATION HOTLINE 90-DAY FOLLOW-UP INFORMATION
For use of this form, see AR 608-18; the proponent agency is OACSIM
PL 93-247, Child Abuse Prevention and Treatment Act of 1974, DoD Directives 6400.1, 6400.2 and 6400.3
AUTHORITY:
Family Advocacy Program
To identify and record information on reports of child and spouse abuse and provide protection and medical
PRINCIPAL PURPOSE:
treatment to military members and their families.
The military services use the information for internal management and maintain it by service. Data
ROUTINE USES:
forwarded to OSD will be aggregated for analysis and void of case identifiers. Incident data is used to
evaluate and identify protocols required in the case. Service program managers use the data to identify
incidence and prevalence rates and trends; track involved families; justify appropriate resource allocation;
and review and control providers of care.
Disclosure is voluntary; however, failure to provide information may delay the provision of appropriate services
DISCLOSURE:
to the individual.
1. DATE OF CALL (YYYYMMDD)
2. INSTALLATION
3. MACOM
4. DOD CASE NUMBER
5. DATE OF DOD CALL TO HQDA
6. TYPE OF INCIDENT
(YYYYMMDD)
7. FACILITY (Include CDC or YS Building Number/FCC Provider Name and Address)
9. DATE OF DETERMINATION
8. CRC DETERMINATION
(YYYYMMDD)
11. IS SUSPECT RECEIVING TREATMENT?
10. IS/ARE VICTIM(s) RECEIVING TREATMENT?
(If additional space is needed, continue on separate sheet)
12. VICTIM(s) INFORMATION
e. GRADE/RANK/MILITARY OR CIVILIAN STATUS
d. TYPE OF ABUSE
a. NO.
b. AGE
c. SEX OF VICTIM(s)
OF EACH VICTIM'S SPONSOR
(Physical, Sexual or Neglect)
1
2
3
4
13. SUSPECT INFORMATION
a. NAME OF SUSPECT
b. AGE
c. SEX
e. GRADE/RANK
d. POSITION
f. STATUS (Active duty, Reserve, Civilian, Contract, Volunteer,
g. BRANCH OF SERVICE IF ACTIVE DUTY
Other)
15. FCC HOME SITUATION
14. SUSPECT SITUATION
OPEN
SEPARATED FROM SERVICE/POSITION
REMAINS IN POSITION
CLOSED TEMPORARILY
CLOSED PERMANENTLY
TRANSFERRED FROM CHILD CONTACT
HQDA USE ONLY
16. ENTERED IN DATABASE BY
17. DATE (YYYYMMDD)
DA FORM 7317-2, OCT 2003
APD LC v1.02ES
DA FORM 7317-2-R, JUN 1994 IS OBSOLETE.
CHILD ABUSE/SAFETY VIOLATION HOTLINE 90-DAY FOLLOW-UP INFORMATION
For use of this form, see AR 608-18; the proponent agency is OACSIM
PL 93-247, Child Abuse Prevention and Treatment Act of 1974, DoD Directives 6400.1, 6400.2 and 6400.3
AUTHORITY:
Family Advocacy Program
To identify and record information on reports of child and spouse abuse and provide protection and medical
PRINCIPAL PURPOSE:
treatment to military members and their families.
The military services use the information for internal management and maintain it by service. Data
ROUTINE USES:
forwarded to OSD will be aggregated for analysis and void of case identifiers. Incident data is used to
evaluate and identify protocols required in the case. Service program managers use the data to identify
incidence and prevalence rates and trends; track involved families; justify appropriate resource allocation;
and review and control providers of care.
Disclosure is voluntary; however, failure to provide information may delay the provision of appropriate services
DISCLOSURE:
to the individual.
1. DATE OF CALL (YYYYMMDD)
2. INSTALLATION
3. MACOM
4. DOD CASE NUMBER
5. DATE OF DOD CALL TO HQDA
6. TYPE OF INCIDENT
(YYYYMMDD)
7. FACILITY (Include CDC or YS Building Number/FCC Provider Name and Address)
9. DATE OF DETERMINATION
8. CRC DETERMINATION
(YYYYMMDD)
11. IS SUSPECT RECEIVING TREATMENT?
10. IS/ARE VICTIM(s) RECEIVING TREATMENT?
(If additional space is needed, continue on separate sheet)
12. VICTIM(s) INFORMATION
e. GRADE/RANK/MILITARY OR CIVILIAN STATUS
d. TYPE OF ABUSE
a. NO.
b. AGE
c. SEX OF VICTIM(s)
OF EACH VICTIM'S SPONSOR
(Physical, Sexual or Neglect)
1
2
3
4
13. SUSPECT INFORMATION
a. NAME OF SUSPECT
b. AGE
c. SEX
e. GRADE/RANK
d. POSITION
f. STATUS (Active duty, Reserve, Civilian, Contract, Volunteer,
g. BRANCH OF SERVICE IF ACTIVE DUTY
Other)
15. FCC HOME SITUATION
14. SUSPECT SITUATION
OPEN
SEPARATED FROM SERVICE/POSITION
REMAINS IN POSITION
CLOSED TEMPORARILY
CLOSED PERMANENTLY
TRANSFERRED FROM CHILD CONTACT
HQDA USE ONLY
16. ENTERED IN DATABASE BY
17. DATE (YYYYMMDD)
DA FORM 7317-2, OCT 2003
APD LC v1.02ES
DA FORM 7317-2-R, JUN 1994 IS OBSOLETE.

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