Reporting on Minors Health, Safety, Abuse, or Neglect

This Report Form should always be completed when someone knows, suspects, or receives information that the health or safety of a minor* participating in any BU-sponsored or affiliated program/activity may be at risk (including suspected abuse or neglect). Concerns may include a specific incident that occurred on/off campus, a suspicion of abuse or neglect, or a suspicion that a minor may be a threat to himself/herself or to others.

Steps for Reporting an Incident

1. Contact Law Enforcement:	Notify the Boston University Police Department (BUPD) immediately at 617-353-2121. Remain with the minor until help arrives. If you are off the main campus, call 911 or local law enforcement. Remain with the minor until help arrives.
2. Complete this online Reporting Form	The online Reporting Form (also below) should be filled out no later than four hours after initial BUPD contact. The Report Form should always be completed when someone knows, suspects, or receives information that the health or safety of a minor participating in any BU-sponsored or affiliated program/activity may be at risk (including suspected abuse or neglect). Concerns may include a specific incident that occurred on/off campus, a suspicion of abuse or neglect, or a suspicion that a minor may be a threat to himself/herself or to others. When you press send, the form will automatically be sent to the Boston University Police Department and the pom@bu.edu email address managed by Human Resources.
3. Contact the Massachusetts Department of Children & Families	Use the Child-at-Risk Hotline, any time of the day or night, at 800-792-5200.
4. Notify a BU Employee with Authority	Promptly notify your supervisor, program director/operator, or dean, when it is safe and appropriate to do so.

* Minor under Massachusetts law is defined as an individual under the age of 18.

What Should You Do if You Feel a Minor Is in Danger?

Who Is Required to Report Concerns of Child Safety?

What if a Victim Requests Confidentiality?

What Happens with the Information You Provide?

Minor Safety Concern Report Form

Location of incident
- On campus
- Off campus
Type of concern (potential or observed)
- Abuse or neglect
- Harm to self
- Harm to others
- Other safety concern
Reporter’s Information (optional)
The reporter and the minor can be different people
Reporter’s name (if different than the minor involved)
Date of report
MM slash DD slash YYYY
Reporter’s affiliation to BU (e.g., student, faculty, staff, unaffiliated)
Reporter’s phone number
Reporter’s email address
Minor’s Information
If the reporter and the minor are different people
Minor’s name
Minor’s program or activity
Minor’s phone number (if available)
Minor’s email address (if available)
Parent/Guardian Information
Parent/guardian’s name
Parent/guardian’s phone number (if available)
Parent/guardian’s email address (if available)
Other Parties Involved
If known, name(s) and affiliation(s) to BU (e.g., student, faculty, staff, unaffiliated)
Incident Information
Date of incident
MM slash DD slash YYYY
Time of incident

: Hours

Minutes

AM/PM
Location of incident
Brief description of incident
Other Reports
Have you or anyone else reported this incident to another department or office (e.g., Massachusetts Department of Children & Families, local police, Sexual Assault Response & Prevention Center, Dean of Students, Residence Life, or Human Resources)?
- Yes
- No
If yes, please list department/office or agencies notified

Reporting on Minors Health, Safety, Abuse, or Neglect

Steps for Reporting an Incident

What Should You Do if You Feel a Minor Is in Danger?

Who Is Required to Report Concerns of Child Safety?

What if a Victim Requests Confidentiality?

What Happens with the Information You Provide?

Minor Safety Concern Report Form

Reporter’s Information (optional)

Minor’s Information

Parent/Guardian Information

Other Parties Involved

Incident Information

Other Reports

BU Alert

Report an Emergency