Form 06PE059E (DDS-59) "Rights and Responsibilities of Community Services Worker (Csw) in an Investigation of Maltreatment" - Oklahoma

What Is Form 06PE059E (DDS-59)?

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

Form Details:

  • Released on August 27, 2019;
  • The latest edition provided by the Oklahoma Department of Human 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 06PE059E (DDS-59) by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Human Services.

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Rights and Responsibilities of Community Services
Worker (CSW) in an Investigation of Maltreatment
Rights
During the investigation process, any CSW who is accused of maltreatment is entitled to:
be advised of the allegation by the designee of the community services provider or DHS
representative;
be interviewed by the investigator and allowed to give his or her position in relation to the
allegation;
be advised of the substance of the evidence against him or her prior to making a statement to
the investigator. The identity of person reporting alleged maltreatment is not released during
the investigation;
refuse, without penalty, to take a polygraph examination;
submit or supplement a written statement relating to the allegation;
seek and receive advice concerning rights and responsibilities in the investigation and review
of alleged maltreatment process; and
receive notice from DHS of the outcome of the investigation.
Responsibilities
Any CSW who is involved in the investigation of maltreatment has the responsibility to:
prepare a written incident report concerning any situation that may be reportable as
maltreatment per 10A O.S. § 1-2-101 or 43A O.S. § 10-103;
be available for scheduled interviews relating to investigation of maltreatment;
respond fully and truthfully to questions relating to alleged maltreatment, with belief that his or
her statements to official inquiries concerning maltreatment may incriminate him or her in a
criminal prosecution for maltreatment, and at any time he or she has the right to discontinue
the interview for that reason;
refrain from any action that may interfere with the investigation of alleged maltreatment,
including any action that may intimidate, threaten, or harass any person who has or may
provide information relating to alleged maltreatment;
appear at any hearing as requested by DHS;
provide a correct address to receive notice of the outcome of the investigation; and
notify Adult Protective Services (APS), Child Protective Services (CPS), or Office of Client
Advocacy (OCA), as applicable, of any address change.
06PE059E
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8/27/2019
Rights and Responsibilities of Community Services
Worker (CSW) in an Investigation of Maltreatment
Rights
During the investigation process, any CSW who is accused of maltreatment is entitled to:
be advised of the allegation by the designee of the community services provider or DHS
representative;
be interviewed by the investigator and allowed to give his or her position in relation to the
allegation;
be advised of the substance of the evidence against him or her prior to making a statement to
the investigator. The identity of person reporting alleged maltreatment is not released during
the investigation;
refuse, without penalty, to take a polygraph examination;
submit or supplement a written statement relating to the allegation;
seek and receive advice concerning rights and responsibilities in the investigation and review
of alleged maltreatment process; and
receive notice from DHS of the outcome of the investigation.
Responsibilities
Any CSW who is involved in the investigation of maltreatment has the responsibility to:
prepare a written incident report concerning any situation that may be reportable as
maltreatment per 10A O.S. § 1-2-101 or 43A O.S. § 10-103;
be available for scheduled interviews relating to investigation of maltreatment;
respond fully and truthfully to questions relating to alleged maltreatment, with belief that his or
her statements to official inquiries concerning maltreatment may incriminate him or her in a
criminal prosecution for maltreatment, and at any time he or she has the right to discontinue
the interview for that reason;
refrain from any action that may interfere with the investigation of alleged maltreatment,
including any action that may intimidate, threaten, or harass any person who has or may
provide information relating to alleged maltreatment;
appear at any hearing as requested by DHS;
provide a correct address to receive notice of the outcome of the investigation; and
notify Adult Protective Services (APS), Child Protective Services (CPS), or Office of Client
Advocacy (OCA), as applicable, of any address change.
06PE059E
Page 1 of 2
8/27/2019
Signatures
I have been advised and acknowledge I am required to inform OCA of any changes in my mailing
address. I have been informed OCA will notify me of its investigative finding(s) in writing at my last
known mailing address. In the event any finding(s) of maltreatment are substantiated and OCA is
unable to serve me notice of the finding(s) because I failed to inform OCA of changes in my mailing
address, or I failed to accept service, I am aware that my name may still be added to the Community
Services Worker Registry as described in 56 O.S. 1025.3 of the Oklahoma Statutes. I acknowledge
I have been advised by this notice that placement on the Community Services Worker Registry will
have an adverse impact on my efforts to find employment, particularly work involving children and
vulnerable adults.
I acknowledge receipt of this form, I have been advised of the allegation of maltreatment, and I
understand my rights and responsibilities as set forth in this form.
CSW printed name
Telephone number
CSW address
City
Zip
State
CSW signature
Date
Witness signature
Date
06PE059E
8/27/2019
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