CP&P 14-47
(rev. 8/2003)
Notification – Child Placed in Protective Custody
Pursuant to N.J.S.A. 9:6-8.16
This letter is to serve as an official notice that
was placed
(name of child)
in protective custody on
and is in
(date)
.
(name of hospital/medical facility)
This action has been taken by
(name of physician, hospital director or designee)
pursuant to N.J.S.A. 9:6-8.16, which empowers any physician or hospital director (or his
designate) to take into custody without a court order any child brought to him for care and
treatment who has suffered serious physical injuries resulting from what he interprets as possible
abuse.
Under the law, the child may be held in protective custody for a period not to exceed
three (3) court days.
This agency is required by law to conduct an investigation of the circumstances leading to
and resulting in the injury or injuries to the child and on the basis of such investigation will
determine whether further action will be warranted to insure the child’s safety. In this case the
Division may apply for a court order placing the child under its care and supervision pursuant to
N.J.S.A. 30:4C-12.
Under the law, you have the right to request an opportunity to visit the child. If you wish
to make such a request, you should contact the above-named physician or hospital director who
will advise you further.
We would greatly appreciate your cooperation with this agency during the course of the
investigation and assure you that we will take every measure possible to protect you and the child
in this matter.
Very truly yours,
Parent, Guardian or Caregiver
(signature)
Case Manager
(signature)
Date Received (today’s date)
District Office