Georgia Child Fatality Review Division

Investigation Reporting Form

Georgia Bureau of Investigation
Child Fatality Review 
3121 Panthersville Road
Decatur, Georgia 30034
Phone: 404.270.8714
Fax: 404.270.8720
E-mail: trebor.randle@gbi.ga.gov

 
 
INSTRUCTIONS:
A. Submit reports of all deaths of children under the age of 18 that occurred in the county.
B. Notify chairperson of Child Fatality Review Committee within 48 hours of death.
C. All forms should be forwarded to chairperson and State office within 7 days of death.
 
 
 
Form Submitter Info
 
 
 
Submitter Name (Last, First):
   
 
 
 
County:
   
 
 
 
Agency:
   
 
 
 
E-mail Address:
   
 
 
 
Contact Number:
   
 
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Child Fatality Review Division
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