Form CANTS9 "Notification of Intent to Indicate Child Care Worker for Report of Child Abuse and/or Neglect" - Illinois

What Is Form CANTS9?

This is a legal form that was released by the Illinois Department of Children and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2015;
  • The latest edition provided by the Illinois Department of Children and Family Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CANTS9 by clicking the link below or browse more documents and templates provided by the Illinois Department of Children and Family Services.

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Download Form CANTS9 "Notification of Intent to Indicate Child Care Worker for Report of Child Abuse and/or Neglect" - Illinois

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NOTIFICATION OF INTENT TO INDICATE
CHILD CARE WORKER FOR REPORT OF CHILD ABUSE AND/OR NEGLECT
The Illinois Department of Children and Family Services has investigated the report of suspected child abuse
and/or neglect explained below. The Department intends to indicate you as the person who committed the child abuse
and/or neglect. Please read this carefully.
Name
Date
Address
SCR No.
City, State, Zip Code
1. Children reported to be abused or neglected:
2. The reported abuse or neglect is alleged to have occurred at:
3. The Department intends to find you responsible for the following act/omissions (allegations):
4. An indicated report for the above allegations will be kept on the State Central Register for
years,
unless, based on the outcome of your appeal, it is removed.
5. An explanation of the State Central Register and the appeal process are attached in the “Questions and Answers
Regarding Notice of Intent to Indicate Child Care Worker for Report of Child Abuse or Neglect.”
6. Also attached is a summary that explains the facts that the Department gathered that are the basis for the Department’s
intent to indicate you.
CANTS 9
Rev 11/2015
1
NOTIFICATION OF INTENT TO INDICATE
CHILD CARE WORKER FOR REPORT OF CHILD ABUSE AND/OR NEGLECT
The Illinois Department of Children and Family Services has investigated the report of suspected child abuse
and/or neglect explained below. The Department intends to indicate you as the person who committed the child abuse
and/or neglect. Please read this carefully.
Name
Date
Address
SCR No.
City, State, Zip Code
1. Children reported to be abused or neglected:
2. The reported abuse or neglect is alleged to have occurred at:
3. The Department intends to find you responsible for the following act/omissions (allegations):
4. An indicated report for the above allegations will be kept on the State Central Register for
years,
unless, based on the outcome of your appeal, it is removed.
5. An explanation of the State Central Register and the appeal process are attached in the “Questions and Answers
Regarding Notice of Intent to Indicate Child Care Worker for Report of Child Abuse or Neglect.”
6. Also attached is a summary that explains the facts that the Department gathered that are the basis for the Department’s
intent to indicate you.
CANTS 9
Rev 11/2015
1
ADMINISTRATOR’S TELECONFERENCE
Before the decision to indicate you is made, you have the opportunity to request a telephone conference with a Child
Protection Administrator who has not been involved in the investigation. The Administrator’s Teleconference will allow
you to respond to the allegations and the basis of the intent to indicate you.
You may have an attorney, or other representative, take part in the Administrator’s Teleconference. You will not be
permitted to present or cross-examine witnesses, but you can give your own account of the incident and provide written
statements and documents.
The date and time of your teleconference are
/
/
, at
a.m ./ pm.
The phone number for your teleconference is (
)
.
The name of the Child Protection Administrator is
The Administrator’s Teleconference can be rescheduled for good cause. If you need to reschedule, call the Child
Protection Administrator at the number listed above as soon as possible.
In case you have any technical difficulties, such as a busy signal, no answer, voicemail or other inability in reaching
the Child Protection Administrator at your appointed date and time, you can call the Office of Child Protection
Deputy Director at 217.785.4010 and tell them you are calling about an Administrator’s Teleconference and they
will be able to assist you.
You do not have to take part in the Administrator’s Teleconference. The Administrator’s Teleconference provides you
with an opportunity to present any information that you believe can or should help the Department make the most accurate
decision regarding the current allegations of child abuse and/or neglect. However, if you choose not to participate in the
teleconference, the “intent to indicate” will most likely result in a decision to indicate you for child abuse and/or neglect
and place your name on the State Central Register.
After the Administrator’s Teleconference, you will be given written notice of the decision and an explanation of the
expedited and regular administrative appeal process. If you do not participate in the Administrator’s Teleconference, you
will be sent written notice of the Department’s final decision and an explanation of the expedited and regular
administrative appeal process.
You retain your right to appeal the Department’s final decision whether or not you participate in the Administrator’s
Teleconference.
Sincerely,
DCFS is an equal opportunity employer,
and prohibits unlawful discrimination in
Child Protective Service Worker
all of its programs and/or services.
Address
Telephone Number (
)
Supervisor’s Name
Supervisor’s Telephone Number (
)
CANTS 9
Rev 11/2015
2
In connection with SCR Number
, I acknowledge that I received the following:
1.
Notice of Intent to Indicate
2.
A summary of the investigation
3.
Questions and Answers for Notice of Intent to Indicate
I also acknowledge that these documents have been explained/read to me:
Printed Name
Printed Address
(
)
Telephone Number
Signature
Date
If you received this notice by mail, please fill out the acknowledgement form and return it to the Child Protection Service
Worker at the address listed on Page 2 of this Notice.
CANTS 9
Rev 11/2015
THIS COPY TO BE COMPLETED, SIGNED AND RETURNED TO THE CHILD PROTECTION
SERVICE WORKER
In connection with SCR Number
, I acknowledge that I received the following:
4.
Notice of Intent to Indicate
5.
A summary of the investigation
6.
Questions and Answers for Notice of Intent to Indicate
I also acknowledge that these documents have been explained/read to me:
Printed Name
Printed Address
(
)
Telephone Number
Signature
Date
If you received this notice by mail, please fill out the acknowledgement form and return it to the Child Protection Service
Worker at the address listed on Page 2 of this Notice.
CANTS 9
Rev 11/2015
THIS COPY TO BE RETAINED FOR YOUR RECORDS
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