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A. On what date did the most recent abuse occur?

A. What type of abuse?

A. Explain what happened.

A. Who (witnesses) saw or heard the incident?

A. What evidence do you have from the incident?

A. Describe what the evidence you listed above is (i.e., date, who took picture or authored report) and describe how you believe it helps your case.

B. On what date did the 2nd abuse incident occur?

B. What type of abuse?

B. Explain what happened.

B. Who (witnesses) saw or heard the incident?

B. What evidence do you have from the incident?

B. Describe what the evidence you listed above is (i.e., date, who took picture or authored report) and describe how you believe it helps your case.

C. On what date did the 3rd abuse incident occur?

C. What type of abuse?

C. Explain what happened.

C. Who (witnesses) saw or heard the incident?

C. What evidence do you have from the incident?

C. Describe what the evidence you listed above is (i.e., date, who took picture or authored report) and describe how you believe it helps your case.

D. On what date did the 4th abuse incident occur?

D. What type of abuse?

D. Explain what happened.

D. Who (witnesses) saw or heard the incident?

D. What evidence do you have from the incident?

D. Describe what the evidence you listed above is (i.e., date, who took picture or authored report) and describe how you believe it helps your case.

E. On what date did the 5th abuse incident occur?

E. What type of abuse?

E. Explain what happened.

E. Who (witnesses) saw or heard the incident?

E. What evidence do you have from the incident?

E. Describe what the evidence you listed above is (i.e., date, who took picture or authored report) and describe how you believe it helps your case.

Has there been a pattern of the abuse described above? Meaning, the abuse you stated above has happened on many occasions?

How did you hear about us? Referred by?

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