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"*" indicates required fields

Child Exploitation / Lewd Caller Report

This form is to report Child Sexual Exploitation or a Lewd caller. If you are not reporting either, select Call Comments in TerpNet and follow the prompts to report an Abusive/Harassing caller.

Name of video interpreter*
Type of abuse*
When was abuse observed
Type of caller
MM slash DD slash YYYY
Time of the call*
:
Videophone user's location (state), if known
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