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THE
C
ALIFORNIA
S
TATE
U
NIVERSITY
OFFICE OF THE C HANCELLOR
BAKERSFIELD
CHANNEL ISLANDS
CHICO
DOMINGUEZ HILLS
EAST BAY
FRESNO
FULLERTON
HUMBOLDT
LONG BEACH
LOS ANGELES
MARITIME ACADEMY
MONTEREY BAY
NORTHRIDGE
POMONA
SACRAMENTO
SAN BERNARDINO
SAN DIEGO
SAN FRANCISCO
SAN JOSÉ
SAN LUIS OBISPO
SAN MARCOS
SONOMA
STANISLAUS
401 GOLDEN SHORE • LONG BEACH, CALIFORNIA 90802-4210 • (562) 951-4700 • Fax (562) 951-4986
July 21, 2017
M E M O R A N D U M
TO: CSU Presidents
FROM: Timothy P. White
Chancellor
SUBJECT: Mandatory Reporting of Child Abuse and Neglect
Executive Order 1083 Revised July 21, 2017
Attached is a copy of Executive Order 1083 Revised July 21, 2017, which provides
direction on implementing the California Child Abuse and Neglect Reporting Act
(“CANRA”) (Penal Code §§ 11164-11174.3). This executive order supersedes
Executive Order 1083 January 1, 2013.
In accordance with policy of the California State University, the campus president
has the responsibility for implementing executive orders where applicable and for
maintaining the campus repository and index for all executive orders.
If you have questions regarding this executive order, please contact Equal Opportunity/
Whistleblower Compliance at EO-TitleIX-Compliance@calstate.edu or (562) 951-4641.
TPW/LH/tl
Attachment
c: CSU Office of the Chancellor Leadership
Provosts/Vice Presidents, Academic Affairs
Vice Presidents, Business and Administration
Vice Presidents, Student Affairs
Associate Vice Presidents, Academic and Faculty Affairs
Human Resources Officers
Executive Order 1083
Revised July 21, 2017
Page 1 of 9
THE CALIFORNIA STATE UNIVERSITY
Office of the Chancellor
401 Golden Shore
Long Beach, California 90802-4210
(562) 951-4641
Executive Order: 1083 Revised July 21, 2017
Effective Date: July 21, 2017
Supersedes: Executive Order 1083 January 1, 2013
Title: Mandatory Reporting of Child Abuse and Neglect
The California Child Abuse and Neglect Reporting Act, California Penal Code §§ 11164-
11174.3 (“CANRA” or the “Act”), identifies certain groups of employees as “Mandated
Reporters” of child abuse and also imposes various obligations on and extends certain
protections to those Mandated Reporters as well as their employers. As a covered employer, the
California State University (CSU) is required to comply with the Act. Relevant excerpts of the
Act are provided as Attachment A.
To implement and assure compliance with the Act, this executive order:
• Identifies the categories of employees within the CSU that are Mandated Reporters;
• Explains the difference between two types of Mandated Reporters;
• Provides information to Mandated Reporters regarding their reporting requirements and
the procedures they must follow;
• Provides information to Mandated Reporters regarding the legal immunity extended with
respect to their reporting;
• Provides forms and training resources for Mandated Reporters (training is available for
all employees and volunteers); and
• Identifies information that is required to be included on job postings/position
announcements and job descriptions.
Apart from the legal obligations the Act imposes, it is the policy of the California State
University to require all Management Personnel Plan employees and all volunteers, and to
strongly encourage all other members of the CSU community who are not designated under the
Act, to report child abuse and neglect occurring on CSU premises or at an official activity of, or
Executive Order 1083
Revised July 21, 2017
Page 2 of 9
program conducted by, the CSU. All employees and volunteers should be notified of the Act and
the availability of training.
I. DEFINITIONS
• “Child” means a person under the age of 18 years.
• “Child Abuse or Neglect” refers to physical injury or death inflicted by other than
accidental means on a child; sexual assault or sexual exploitation of a child including
sexual intercourse between a child under 16 years of age and a person 21 years of age or
older, lewd or lascivious acts, and child molestation; negligent treatment or the
maltreatment of a child by a person responsible for the child’s welfare under
circumstances indicating harm or threatened harm to the child’s health or welfare; willful
harming, injuring, or endangering a child; and unlawful corporal punishment.
• “Child Abuse and Neglect Reporting Act” refers to California Penal Code §§ 11164-
11174.3, which identifies certain employment positions as Mandated Reporters with
specified reporting obligations for suspected child abuse and neglect.
• “General Reporters” is a category of Mandated Reporter, defined by the CSU as those
who are legally required to report child abuse or neglect no matter where it occurs. For
the purposes of this policy, any employee who satisfies the criteria for both Limited
Reporters and General Reporters will be designated as a General Reporter.
• “Limited Reporters” is a category of Mandated Reporter, in accordance with California
Penal Code § 11165.7(a)(41), and defined by the CSU as those who are legally required
to report child abuse or neglect only if it occurs on CSU premises or at an official activity
of, or program conducted by, the CSU.
• “Mandated Reporters” means CSU employees or volunteers required under CANRA
and CSU policy to report suspected child abuse and neglect to specified authorities. For
the purposes of this policy, “Mandated Reporters” includes two categories: Limited
Reporters and General Reporters; “Mandated Reporter” refers to both Limited Reporters
and General Reporters.
• “Reasonable Suspicion” as defined under Penal Code § 11166(a) means that “it is
objectively reasonable…[for a Mandated Reporter] to entertain such a suspicion, based
upon facts that could cause a reasonable person in a like position, drawing, when
appropriate, on his or her training and experience, to suspect child abuse or neglect.”
Facts upon which a reasonable suspicion may arise do not have to have been witnessed
by the Mandated Reporter but can be learned from other sources.
Executive Order 1083
Revised July 21, 2017
Page 3 of 9
II. EMPLOYEES WHO ARE REQUIRED TO REPORT
The Act identifies forty-four (44) employment positions as Mandated Reporters with specified
mandated reporting responsibilities, including those whose duties involve regular contact with
children or who supervise such employees. Categories of CSU employees who qualify as
Mandated Reporters are identified in Attachment B.
Campus Human Resources will have established a list of classifications (or in some cases,
positions within classifications) that fall within the broad categories identified in Attachment B.
The list will distinguish between (a) those who are legally required to report child abuse or
neglect only if it occurs on CSU premises or at an official activity of, or program conducted by,
the CSU (Limited Reporters) and (b) those who are legally required to report suspected abuse or
neglect wherever it occurs (General Reporters). Any employee who satisfies the criteria for both
Limited Reporters and General Reporters will be designated as a General Reporter. The list
should be periodically updated.
In addition, as a matter of CSU policy, all Management Personnel Plan employees and all
volunteers are considered Limited Reporters (except that Management Personnel Plan employees
who meet the definition of “General Reporter” are General Reporters).
Non-Management Personnel Plan employees hired prior to January 1, 1985 are not required to be
designated as Mandated Reporters
1
but are strongly encouraged to report suspected child abuse
or neglect.
III. WHEN REPORTING IS REQUIRED
The Act requires Mandated Reporters to report child abuse and neglect whenever, in their
professional capacity or within the scope of their employment, they observe or reasonably
suspect it. For General Reporters, reporting extends to suspected abuse or neglect wherever it
occurs. For Limited Reporters, the reporting obligation is limited to suspected abuse or neglect
occurring on CSU premises or at an official activity of, or program conducted by, the CSU.
A Mandated Reporter should reasonably suspect child abuse or neglect whenever “it is
objectively reasonable … to entertain such a suspicion, based upon facts that could cause a
reasonable person in a like position, drawing, when appropriate, on his or her training and
experience, to suspect child abuse or neglect.” (Penal Code § 11166(a)). Facts upon which a
reasonable suspicion may arise do not have to have been witnessed by the Mandated Reporter
but can be learned from other sources.
The Mandated Reporter is personally responsible for determining when reporting is required and
following the reporting procedures identified in the Act, as summarized below. In other words, it
is the individual employee’s legal obligation to report, not the CSU’s.
1
While this executive order excludes non-Management Personnel Plan employees hired prior to January 1, 1985
from being designated as Mandated Reporters, these employees may still have a legal obligation to report suspected
child abuse or neglect under California Penal Code § 11165.7 and § 11166. Accordingly, the CSU strongly
encourages all employees to report suspected child abuse or neglect.
Executive Order 1083
Revised July 21, 2017
Page 4 of 9
IV. ABUSE AND NEGLECT THAT MUST BE REPORTED
Mandated Reporters must report the following types of abuse or neglect:
• Physical abuse, meaning physical injury other than by accidental means inflicted on a
child (Penal Code § 11165.6)
• Sexual assault, including sex acts with a child, intentional masturbation in the presence
of a child, child molestation, and lewd or lascivious acts with a child under 14 years of
age or with a child under 16 years of age if the other person is at least ten years older than
the child (Penal Code § 11165.1(a)(b))
• Sexual exploitation, including acts relating to child pornography, child prostitution, or
performances involving obscene sexual conduct by a child (Penal Code § 11165.1(c))
• Statutory rape involving sexual intercourse between a child under 16 years of age and a
person 21 years of age or older, which is also a form of “sexual assault” (Penal Code
§§ 261.5(d) and 11165.1(a))
• Neglect meaning the negligent treatment or maltreatment of a child by a parent, guardian
or caretaker under circumstances indicating harm or threatened harm to the child's health
or welfare (Penal Code § 11165.2)
• Willful harming or injuring or endangering a child, meaning a situation in which any
person inflicts, or willfully causes or permits a child to suffer, unjustifiable physical pain
or mental suffering, or causes or permits a child to be placed in a situation in which the
child or child's health is endangered (Penal Code § 11165.3)
• Unlawful corporal punishment, meaning a situation in which any person willfully
inflicts upon a child cruel or inhuman corporal punishment or a physical injury (Penal
Code § 11165.4)
V. WHAT IS NOT CHILD ABUSE OR NEGLECT
The following are examples of what is not child abuse or neglect for reporting purposes:
• Injuries caused by two children fighting during a mutual altercation (Penal Code
§ 11165.6)
• An injury caused by reasonable and necessary force used by a peace officer acting within
the course and scope of his or her employment (Penal Code § 11165.6)
• Reasonable and necessary force used by public school officials to quell a disturbance
threatening physical injury to person or damage to property, for self-defense, or to obtain
Executive Order 1083
Revised July 21, 2017
Page 5 of 9
possession of weapons or other dangerous objects under a child’s control (Penal Code
§ 11165.4)
• Corporal punishment, unless it is cruel or inhuman or willfully inflicts a physical injury
(Penal Code § 11165.4)
• Not receiving medical treatment for religious reasons (Penal Code § 11165.2(b))
• Acts performed for a valid medical purpose (Penal Code § 11165.1(b)(3))
• An informed and appropriate medical decision made by a parent, guardian or caretaker
after consultation with a physician who has examined the child (Penal Code
§ 11165.2(b))
VI. RESPONSIBILITIES OF CAMPUS HUMAN RESOURCES
Campus Human Resources will have direct or oversight responsibilities for the following:
• Identifying Mandated Reporters (Limited Reporters and General Reporters)
• Ensuring that the statement described in Section XII appears in the position
announcement and position description of all Mandated Reporter positions
• Ensuring that all Mandated Reporters (with the exception of non-Management Personnel
Plan employees hired prior to January 1, 1985) are provided with statements to be
completed acknowledging their legal obligations (Attachments C and D)
• Tracking Mandated Reporters’ completion of Attachments C and D and placing the
signed statements in each employee’s personnel file
• Assisting Mandated Reporters in carrying out their reporting responsibilities
• Taking measures, if necessary, to ensure that Mandated Reporters are not impeded in
performing their duties
VII. PROCEDURE FOR REPORTING
Mandated Reporters are legally required to report suspected child abuse or neglect as follows:
• Step One: Immediately, or as soon as practically possible, contact by phone one of the
following:
o a police or sheriff’s department (including campus police but not including a
school district police or security department);
Executive Order 1083
Revised July 21, 2017
Page 6 of 9
o a county probation department (if designated by the county to receive mandated
reports); or
o the county welfare department (Child Protected Services or CPS).
• Step Two: Within 36 hours of receiving the information concerning the incident:
o Complete Form SS 8572 (included as Attachment E and also available at
http://ag.ca.gov/childabuse/pdf/ss_8572.pdf; instructions available at
http://ag.ca.gov/childabuse/pdf/8572_instruct.pdf; and
o send, fax, or electronically transmit it to the agency that was contacted by phone
(Penal Code § 11166(a))
Note: In case of an emergency or if a crime is in progress, employees should always
immediately call campus police or 911.
At the time of the phone call, the Mandated Reporter must provide the following information,
if known:
• Name, business address, and telephone number of the Mandated Reporter
• Child's name, address, and present location
• Names, addresses, and telephone numbers of the child's parents, guardian, or caretaker
• Source of information that led to the suspicion of child abuse
• Name, address, telephone number, and other personal information of person(s) who
might have abused the child
The Mandated Reporter is not excused from making a report where some of this information is
not known or is uncertain.
For suspected abuse or neglect occurring on CSU premises or at an official activity of, or
program conducted by the CSU, Mandated Reporters are encouraged, but not required, to also
notify their supervisors or other appropriate administrators. However, reporting to a supervisor,
a coworker, or any other person is not a substitute for making a mandated report to one of the
agencies listed above.
When two or more persons, who are required to report, jointly have knowledge of a known or
suspected instance of child abuse or neglect, and when there is agreement among them, the
telephone report may be made by a member of the team selected by mutual agreement and a
single report may be made and signed by the selected member of the reporting team. Any
member who has knowledge that the member designated to report has failed to do so shall
thereafter make the report (Penal Code § 11166(h)).
Executive Order 1083
Revised July 21, 2017
Page 7 of 9
Names and contact information for agencies that can accept reports are available online at the
following websites:
California State University Police Departments (by campus):
http://calstate.edu/strategicinitiatives/UPD/contacts.shtml
Child Protective Services (by county):
http://www.hwcws.cahwnet.gov/countyinfo/county_contacts/hotline_numbers.asp
Sheriffs’ Departments (by county):
http://www.calsheriffs.org/sheriffs-offices.html
Attachment E is the California Department of Justice form for use by Mandated Reporters to
report suspected child abuse or neglect. Known as Form SS 8572, it is available online at:
http://ag.ca.gov/childabuse/pdf/SS_8572.pdf. Instructions for completing the form are available
online at: http://ag.ca.gov/childabuse/pdf/8572_instruct.pdf.
VIII. IMMUNITY AND CONFIDENTIALITY OF REPORTER
Mandated Reporters cannot be held civilly or criminally liable for their reports. Instead, they
enjoy immunity from prosecution for their reporting of suspected child abuse (Penal Code
§ 11172(a)). Both the identity of the person who reports and the report itself are confidential and
disclosed only among appropriate agencies (Penal Code § 11167(d)).
IX. PENALTY FOR FAILURE TO REPORT ABUSE OR IMPEDING REPORT
A Mandated Reporter who fails to make a required report, or any administrator or supervisor
who impedes or inhibits a report, is guilty of a misdemeanor punishable by up to six months in
jail, a fine of $1,000, or both (Penal Code §§ 11166(c) and 11166.01(a)).
Where the abuse results in death or great bodily injury, the Mandated Reporter who fails to make
a required report or administrator or supervisor who impeded or inhibited the report is subject to
punishment of up to one year in jail, a fine of $5,000, or both (Penal Code § 11166.01(b)).
X. WRITTEN ACKNOWLEDGMENT OF LEGAL RESPONSIBILITY TO
REPORT ABUSE
A. New Employees
New employees who are identified as Mandated Reporters (including Management
Personnel Plan employees) will be notified and required, as a precondition of
employment, to sign a statement that acknowledges their status as a Mandated
Reporter and their agreement to comply with the reporting obligations under the Act.
The statement will specify whether the employee is a Limited Reporter (Attachment
C) or a General Reporter (Attachment D). New employees who are designated as
Executive Order 1083
Revised July 21, 2017
Page 8 of 9
Mandated Reporters, but who refuse to sign the statement presented to them cannot
be hired, without exception.
B. Existing Employees
Existing employees hired on or after January 1, 1985 and who are identified as
Mandated Reporters (including Management Personnel Plan employees) will be
notified and required, as a condition of continuing employment, to sign a statement
that acknowledges they will comply with their reporting obligations under the Act.
The statement will specify whether the employee is a Limited Reporter (Attachment
C) or a General Reporter (Attachment D). Campus Human Resources will follow up
with employees who fail to submit the required statements. Existing employees
designated as Mandated Reporters who refuse to sign the statement within a
reasonable period of time, despite being reminded by Campus Human Resources,
will be subject to disciplinary action up to and including dismissal.
Employees hired prior to January 1, 1985 are not required to be designated as
Mandated Reporters but are strongly encouraged to report suspected child abuse or
neglect.
C. Volunteers
New volunteers are required to sign a statement prior to the start of their service as a
volunteer that acknowledges their status as a Limited Reporter. Volunteers who
refuse to sign the statement presented to them cannot serve as volunteers, without
exception.
Existing volunteers are required to sign a statement that acknowledges their status as
a Limited Reporter. Volunteers who refuse to sign the statement within a reasonable
period of time cannot continue to serve as volunteers, without exception.
XI. TRAINING
Mandated Reporters and all other employees, as well as volunteers, are strongly
encouraged to complete the online training course provided at:
https://ds.calstate.edu/?svc=skillsoft (under keyword search “Mandated Reporter”)
Campuses may also provide training.
XII. POSITION ANNOUNCEMENT/POSITION DESCRIPTION REQUIREMENTS
The position announcements (also known as "vacancy" announcements) and the position
descriptions for all CSU positions designated as Mandated Reporters shall state that compliance
with the Act and this executive order are a condition of employment, in language similar to the
following: "The person holding this position is considered a 'mandated reporter' under the
California Child Abuse and Neglect Reporting Act and is required to comply with the
Executive Order 1083
Revised July 21, 2017
Page 9 of 9
requirements set forth in CSU Executive Order 1083 Revised July 21, 2017 as a condition of
employment." Existing position announcements and position descriptions for all CSU positions
shall be revised to include this language either at the time a recruitment to fill the position is
open or at the time the position description is next scheduled for a periodic review by campus
Human Resources, whichever is earlier.
Attachments:
Attachment A (Excerpts of California Child Abuse and Neglect Reporting Act, Penal
Code §§ 11165.7, 11166, 11166.01, and 11167)
Attachment B (Categories of Mandated Reporters)
Attachment C (Acknowledgment of Mandated Reporter Status and Legal Duty to Report
Child Abuse and Neglect) – for Limited Reporters (Including
Management Personnel Plan employees and volunteers)
Attachment D (Acknowledgment of Mandated Reporter Status and Legal Duty to Report
Child Abuse and Neglect) – for General Reporters
Attachment E (Form SS 8572, Suspected Child Abuse Report)
__________________________________
Timothy P. White, Chancellor
Dated: July 21, 2017
Executive Order 1083
Revised July 21, 2017
Attachment A
Page 1 of 14
Excerpts of California Child Abuse and Neglect Reporting Act
Penal Code Sections 11164 through 11165.7, 11166, 11166.01, and 11167
11164. (a) This article shall be known and may be cited as the Child
Abuse and Neglect Reporting Act.
(b) The intent and purpose of this article is to protect children
from abuse and neglect. In any investigation of suspected child abuse
or neglect, all persons participating in the investigation of the case
shall consider the needs of the child victim and shall do whatever is
necessary to prevent psychological harm to the child victim.
11165. As used in this article “child” means a person under the age of
18 years.
11165.1. As used in this article, “sexual abuse” means sexual assault
or sexual exploitation as defined by the following:
(a) “Sexual assault” means conduct in violation of one or more of
the following sections: Section 261 (rape), subdivision (d) of Section
261.5 (statutory rape), Section 264.1 (rape in concert), Section 285
(incest), Section 286 (sodomy), subdivision (a) or (b), or paragraph
(1) of subdivision (c) of Section 288 (lewd or lascivious acts upon a
child), Section 288a (oral copulation), Section 289 (sexual
penetration), or Section 647.6 (child molestation).
(b) Conduct described as “sexual assault” includes, but is not
limited to, all of the following:
(1) Penetration, however slight, of the vagina or anal opening of
one person by the penis of another person, whether or not there is the
emission of semen.
(2) Sexual contact between the genitals or anal opening of one person
and the mouth or tongue of another person.
(3) Intrusion by one person into the genitals or anal opening of
another person, including the use of an object for this purpose,
except that, it does not include acts performed for a valid medical
purpose.
(4) The intentional touching of the genitals or intimate parts,
including the breasts, genital area, groin, inner thighs, and
buttocks, or the clothing covering them, of a child, or of the
perpetrator by a child, for purposes of sexual arousal or
gratification, except that it does not include acts which may
reasonably be construed to be normal caretaker responsibilities;
interactions with, or demonstrations of affection for, the child; or
acts performed for a valid medical purpose.
(5) The intentional masturbation of the perpetrator’s genitals in
the presence of a child.
(c) “Sexual exploitation” refers to any of the following:
Executive Order 1083
Revised July 21, 2017
Attachment A
Page 2 of 14
(1) Conduct involving matter depicting a minor engaged in obscene
acts in violation of Section 311.2 (preparing, selling, or
distributing obscene matter) or subdivision (a) of Section 311.4
(employment of minor to perform obscene acts).
(2) A person who knowingly promotes, aids, or assists, employs,
uses, persuades, induces, or coerces a child, or a person responsible
for a child’s welfare, who knowingly permits or encourages a child to
engage in, or assist others to engage in, prostitution or a live
performance involving obscene sexual conduct, or to either pose or
model alone or with others for purposes of preparing a film,
photograph, negative, slide, drawing, painting, or other pictorial
depiction, involving obscene sexual conduct. For the purpose of this
section, “person responsible for a child’s welfare” means a parent,
guardian, foster parent, or a licensed administrator or employee of a
public or private residential home, residential school, or other
residential institution.
(3) A person who depicts a child in, or who knowingly develops,
duplicates, prints, downloads, streams, accesses through any
electronic or digital media, or exchanges, a film, photograph,
videotape, video recording, negative, or slide in which a child is
engaged in an act of obscene sexual conduct, except for those
activities by law enforcement and prosecution agencies and other
persons described in subdivisions (c) and (e) of Section 311.3.
(d) “Commercial sexual exploitation” refers to either of the
following:
(1) The sexual trafficking of a child, as described in subdivision
(c) of Section 236.1.
(2) The provision of food, shelter, or payment to a child in
exchange for the performance of any sexual act described in this
section or subdivision (c) of Section 236.1.
11165.2. As used in this article, “neglect” means the negligent
treatment or the maltreatment of a child by a person responsible for
the child’s welfare under circumstances indicating harm or threatened
harm to the child’s health or welfare. The term includes both acts and
omissions on the part of the responsible person.
(a) “Severe neglect” means the negligent failure of a person having
the care or custody of a child to protect the child from severe
malnutrition or medically diagnosed nonorganic failure to thrive.
“Severe neglect” also means those situations of neglect where any
person having the care or custody of a child willfully causes or
permits the person or health of the child to be placed in a situation
such that his or her person or health is endangered, as proscribed by
Section 11165.3, including the intentional failure to provide adequate
food, clothing, shelter, or medical care.
(b) “General neglect” means the negligent failure of a person having
the care or custody of a child to provide adequate food, clothing,
shelter, medical care, or supervision where no physical injury to the
child has occurred.
Executive Order 1083
Revised July 21, 2017
Attachment A
Page 3 of 14
For the purposes of this chapter, a child receiving treatment by
spiritual means as provided in Section 16509.1 of the Welfare and
Institutions Code or not receiving specified medical treatment for
religious reasons, shall not for that reason alone be considered a
neglected child. An informed and appropriate medical decision made by
parent or guardian after consultation with a physician or physicians
who have examined the minor does not constitute neglect.
11165.3. As used in this article, “the willful harming or injuring of
a child or the endangering of the person or health of a child,” means
a situation in which any person willfully causes or permits any child
to suffer, or inflicts thereon, unjustifiable physical pain or mental
suffering, or having the care or custody of any child, willfully
causes or permits the person or health of the child to be placed in a
situation in which his or her person or health is endangered.
11165.4. As used in this article, “unlawful corporal punishment or
injury” means a situation where any person willfully inflicts upon any
child any cruel or inhuman corporal punishment or injury resulting in
a traumatic condition. It does not include an amount of force that is
reasonable and necessary for a person employed by or engaged in a
public school to quell a disturbance threatening physical injury to
person or damage to property, for purposes of self-defense, or to
obtain possession of weapons or other dangerous objects within the
control of the pupil, as authorized by Section 49001 of the Education
Code. It also does not include the exercise of the degree of physical
control authorized by Section 44807 of the Education Code. It also
does not include an injury caused by reasonable and necessary force
used by a peace officer acting within the course and scope of his or
her employment as a peace officer.
11165.5. As used in this article, the term “abuse or neglect in out-
of-home care” includes physical injury or death inflicted upon a child
by another person by other than accidental means, sexual abuse as
defined in Section 11165.1, neglect as defined in Section 11165.2,
unlawful corporal punishment or injury as defined in Section 11165.4,
or the willful harming or injuring of a child or the endangering of
the person or health of a child, as defined in Section 11165.3, where
the person responsible for the child’s welfare is a licensee,
administrator, or employee of any facility licensed to care for
children, or an administrator or employee of a public or private
school or other institution or agency. “Abuse or neglect in out-of-
home care” does not include an injury caused by reasonable and
necessary force used by a peace officer acting within the course and
scope of his or her employment as a peace officer.
Executive Order 1083
Revised July 21, 2017
Attachment A
Page 4 of 14
11165.6. As used in this article, the term “child abuse or neglect”
includes physical injury or death inflicted by other than accidental
means upon a child by another person, sexual abuse as defined in
Section 11165.1, neglect as defined in Section 11165.2, the willful
harming or injuring of a child or the endangering of the person or
health of a child, as defined in Section 11165.3, and unlawful
corporal punishment or injury as defined in Section 11165.4. “Child
abuse or neglect” does not include a mutual affray between minors.
“Child abuse or neglect” does not include an injury caused by
reasonable and necessary force used by a peace officer acting within
the course and scope of his or her employment as a peace officer.
11165.7. (a) As used in this article, “mandated reporter” is defined
as any of the following:
(1) A teacher.
(2) An instructional aide.
(3) A teacher’s aide or teacher’s assistant employed by a public or
private school.
(4) A classified employee of a public school.
(5) An administrative officer or supervisor of child welfare and
attendance, or a certificated pupil personnel employee of a public or
private school.
(6) An administrator of a public or private day camp.
(7) An administrator or employee of a public or private youth
center, youth recreation program, or youth organization.
(8) An administrator or employee of a public or private organization
whose duties require direct contact and supervision of children.
(9) An employee of a county office of education or the State
Department of Education whose duties bring the employee into contact
with children on a regular basis.
(10) A licensee, an administrator, or an employee of a licensed
community care or child day care facility.
(11) A Head Start program teacher.
(12) A licensing worker or licensing evaluator employed by a
licensing agency, as defined in Section 11165.11.
(13) A public assistance worker.
(14) An employee of a child care institution, including, but not
limited to, foster parents, group home personnel, and personnel of
residential care facilities.
(15) A social worker, probation officer, or parole officer.
(16) An employee of a school district police or security department.
(17) A person who is an administrator or presenter of, or a
counselor in, a child abuse prevention program in a public or private
school.
(18) A district attorney investigator, inspector, or local child
support agency caseworker, unless the investigator, inspector, or
caseworker is working with an attorney appointed pursuant to Section
317 of the Welfare and Institutions Code to represent a minor.
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(19) A peace officer, as defined in Chapter 4.5 (commencing with
Section 830) of Title 3 of Part 2, who is not otherwise described in
this section.
(20) A firefighter, except for volunteer firefighters.
(21) A physician and surgeon, psychiatrist, psychologist, dentist,
resident, intern, podiatrist, chiropractor, licensed nurse, dental
hygienist, optometrist, marriage and family therapist, clinical social
worker, professional clinical counselor, or any other person who is
currently licensed under Division 2 (commencing with Section 500) of
the Business and Professions Code.
(22) An emergency medical technician I or II, paramedic, or other
person certified pursuant to Division 2.5 (commencing with Section
1797) of the Health and Safety Code.
(23) A psychological assistant registered pursuant to Section 2913
of the Business and Professions Code.
(24) A marriage and family therapist trainee, as defined in
subdivision (c) of Section 4980.03 of the Business and Professions
Code.
(25) An unlicensed marriage and family therapist intern registered
under Section 4980.44 of the Business and Professions Code.
(26) A state or county public health employee who treats a minor for
venereal disease or any other condition.
(27) A coroner.
(28) A medical examiner or other person who performs autopsies.
(29) A commercial film and photographic print or image processor as
specified in subdivision (e) of Section 11166. As used in this
article, “commercial film and photographic print or image processor”
means a person who develops exposed photographic film into negatives,
slides, or prints, or who makes prints from negatives or slides, or
who prepares, publishes, produces, develops, duplicates, or prints any
representation of information, data, or an image, including, but not
limited to, any film, filmstrip, photograph, negative, slide,
photocopy, videotape, video laser disc, computer hardware, computer
software, computer floppy disk, data storage medium, CD-ROM, computer-
generated equipment, or computer-generated image, for compensation.
The term includes any employee of that person; it does not include a
person who develops film or makes prints or images for a public
agency.
(30) A child visitation monitor. As used in this article, “child
visitation monitor” means a person who, for financial compensation,
acts as a monitor of a visit between a child and another person when
the monitoring of that visit has been ordered by a court of law.
(31) An animal control officer or humane society officer. For the
purposes of this article, the following terms have the following
meanings:
(A) “Animal control officer” means a person employed by a city,
county, or city and county for the purpose of enforcing animal control
laws or regulations.
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Attachment A
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(B) “Humane society officer” means a person appointed or employed by
a public or private entity as a humane officer who is qualified
pursuant to Section 14502 or 14503 of the Corporations Code.
(32) A clergy member, as specified in subdivision (d) of Section
11166. As used in this article, “clergy member” means a priest,
minister, rabbi, religious practitioner, or similar functionary of a
church, temple, or recognized denomination or organization.
(33) Any custodian of records of a clergy member, as specified in
this section and subdivision (d) of Section 11166.
(34) An employee of any police department, county sheriff’s
department, county probation department, or county welfare department.
(35) An employee or volunteer of a Court Appointed Special Advocate
program, as defined in Rule 5.655 of the California Rules of Court.
(36) A custodial officer, as defined in Section 831.5.
(37) A person providing services to a minor child under Section
12300 or 12300.1 of the Welfare and Institutions Code.
(38) An alcohol and drug counselor. As used in this article, an
“alcohol and drug counselor” is a person providing counseling,
therapy, or other clinical services for a state licensed or certified
drug, alcohol, or drug and alcohol treatment program. However, alcohol
or drug abuse, or both alcohol and drug abuse, is not, in and of
itself, a sufficient basis for reporting child abuse or neglect.
(39) A clinical counselor trainee, as defined in subdivision (g) of
Section 4999.12 of the Business and Professions Code.
(40) A clinical counselor intern registered under Section 4999.42 of
the Business and Professions Code.
(41) An employee or administrator of a public or private
postsecondary educational institution, whose duties bring the
administrator or employee into contact with children on a regular
basis, or who supervises those whose duties bring the administrator or
employee into contact with children on a regular basis, as to child
abuse or neglect occurring on that institution’s premises or at an
official activity of, or program conducted by, the institution.
Nothing in this paragraph shall be construed as altering the lawyer-
client privilege as set forth in Article 3 (commencing with Section
950) of Chapter 4 of Division 8 of the Evidence Code.
(42) An athletic coach, athletic administrator, or athletic director
employed by any public or private school that provides any combination
of instruction for kindergarten, or grades 1 to 12, inclusive.
(43) (A) A commercial computer technician as specified in
subdivision (e) of Section 11166. As used in this article, “commercial
computer technician” means a person who works for a company that is in
the business of repairing, installing, or otherwise servicing a
computer or computer component, including, but not limited to, a
computer part, device, memory storage or recording mechanism,
auxiliary storage recording or memory capacity, or any other material
relating to the operation and maintenance of a computer or computer
network system, for a fee. An employer who provides an electronic
communications service or a remote computing service to the public
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Attachment A
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shall be deemed to comply with this article if that employer complies
with Section 2258A of Title 18 of the United States Code.
(B) An employer of a commercial computer technician may implement
internal procedures for facilitating reporting consistent with this
article. These procedures may direct employees who are mandated
reporters under this paragraph to report materials described in
subdivision (e) of Section 11166 to an employee who is designated by
the employer to receive the reports. An employee who is designated to
receive reports under this subparagraph shall be a commercial computer
technician for purposes of this article. A commercial computer
technician who makes a report to the designated employee pursuant to
this subparagraph shall be deemed to have complied with the
requirements of this article and shall be subject to the protections
afforded to mandated reporters, including, but not limited to, those
protections afforded by Section 11172.
(44) Any athletic coach, including, but not limited to, an assistant
coach or a graduate assistant involved in coaching, at public or
private postsecondary educational institutions.
(b) Except as provided in paragraph (35) of subdivision (a),
volunteers of public or private organizations whose duties require
direct contact with and supervision of children are not mandated
reporters but are encouraged to obtain training in the identification
and reporting of child abuse and neglect and are further encouraged to
report known or suspected instances of child abuse or neglect to an
agency specified in Section 11165.9.
(c) Except as provided in subdivision (d), employers are strongly
encouraged to provide their employees who are mandated reporters with
training in the duties imposed by this article. This training shall
include training in child abuse and neglect identification and
training in child abuse and neglect reporting. Whether or not
employers provide their employees with training in child abuse and
neglect identification and reporting, the employers shall provide
their employees who are mandated reporters with the statement required
pursuant to subdivision (a) of Section 11166.5.
(d) Pursuant to Section 44691 of the Education Code, school
districts, county offices of education, state special schools and
diagnostic centers operated by the State Department of Education, and
charter schools shall annually train their employees and persons
working on their behalf specified in subdivision (a) in the duties of
mandated reporters under the child abuse reporting laws. The training
shall include, but not necessarily be limited to, training in child
abuse and neglect identification and child abuse and neglect
reporting.
(e) (1) On and after January 1, 2018, pursuant to Section 1596.8662
of the Health and Safety Code, a child care licensee applicant shall
take training in the duties of mandated reporters under the child
abuse reporting laws as a condition of licensure, and a child care
administrator or an employee of a licensed child day care facility
shall take training in the duties of mandated reporters during the
first 90 days when he or she is employed by the facility.
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Attachment A
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(2) A person specified in paragraph (1) who becomes a licensee,
administrator, or employee of a licensed child day care facility shall
take renewal mandated reporter training every two years following the
date on which he or she completed the initial mandated reporter
training. The training shall include, but not necessarily be limited
to, training in child abuse and neglect identification and child abuse
and neglect reporting.
(f) Unless otherwise specifically provided, the absence of training
shall not excuse a mandated reporter from the duties imposed by this
article.
(g) Public and private organizations are encouraged to provide their
volunteers whose duties require direct contact with and supervision of
children with training in the identification and reporting of child
abuse and neglect.
11166. (a) Except as provided in subdivision (d), and in Section
11166.05, a mandated reporter shall make a report to an agency
specified in Section 11165.9 whenever the mandated reporter, in his or
her professional capacity or within the scope of his or her
employment, has knowledge of or observes a child whom the mandated
reporter knows or reasonably suspects has been the victim of child
abuse or neglect. The mandated reporter shall make an initial report
by telephone to the agency immediately or as soon as is practicably
possible, and shall prepare and send, fax, or electronically transmit
a written followup report within 36 hours of receiving the information
concerning the incident. The mandated reporter may include with the
report any nonprivileged documentary evidence the mandated reporter
possesses relating to the incident.
(1) For purposes of this article, “reasonable suspicion” means that
it is objectively reasonable for a person to entertain a suspicion,
based upon facts that could cause a reasonable person in a like
position, drawing, when appropriate, on his or her training and
experience, to suspect child abuse or neglect. “Reasonable suspicion”
does not require certainty that child abuse or neglect has occurred
nor does it require a specific medical indication of child abuse or
neglect; any “reasonable suspicion” is sufficient. For purposes of
this article, the pregnancy of a minor does not, in and of itself,
constitute a basis for a reasonable suspicion of sexual abuse.
(2) The agency shall be notified and a report shall be prepared and
sent, faxed, or electronically transmitted even if the child has
expired, regardless of whether or not the possible abuse was a factor
contributing to the death, and even if suspected child abuse was
discovered during an autopsy.
(3) A report made by a mandated reporter pursuant to this section
shall be known as a mandated report.
(b) If, after reasonable efforts, a mandated reporter is unable to
submit an initial report by telephone, he or she shall immediately or
as soon as is practicably possible, by fax or electronic transmission,
make a one-time automated written report on the form prescribed by the
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Attachment A
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Department of Justice, and shall also be available to respond to a
telephone followup call by the agency with which he or she filed the
report. A mandated reporter who files a one-time automated written
report because he or she was unable to submit an initial report by
telephone is not required to submit a written followup report.
(1) The one-time automated written report form prescribed by the
Department of Justice shall be clearly identifiable so that it is not
mistaken for a standard written followup report. In addition, the
automated one-time report shall contain a section that allows the
mandated reporter to state the reason the initial telephone call was
not able to be completed. The reason for the submission of the one-
time automated written report in lieu of the procedure prescribed in
subdivision (a) shall be captured in the Child Welfare Services/Case
Management System (CWS/CMS). The department shall work with
stakeholders to modify reporting forms and the CWS/CMS as is necessary
to accommodate the changes enacted by these provisions.
(2) This subdivision shall not become operative until the CWS/CMS is
updated to capture the information prescribed in this subdivision.
(3) This subdivision shall become inoperative three years after this
subdivision becomes operative or on January 1, 2009, whichever occurs
first.
(4) On the inoperative date of these provisions, a report shall be
submitted to the counties and the Legislature by the State Department
of Social Services that reflects the data collected from automated
one-time reports indicating the reasons stated as to why the automated
one-time report was filed in lieu of the initial telephone report.
(5) Nothing in this section shall supersede the requirement that a
mandated reporter first attempt to make a report via telephone, or
that agencies specified in Section 11165.9 accept reports from
mandated reporters and other persons as required.
(c) A mandated reporter who fails to report an incident of known or
reasonably suspected child abuse or neglect as required by this
section is guilty of a misdemeanor punishable by up to six months
confinement in a county jail or by a fine of one thousand dollars
($1,000) or by both that imprisonment and fine. If a mandated reporter
intentionally conceals his or her failure to report an incident known
by the mandated reporter to be abuse or severe neglect under this
section, the failure to report is a continuing offense until an agency
specified in Section 11165.9 discovers the offense.
(d) (1) A clergy member who acquires knowledge or a reasonable
suspicion of child abuse or neglect during a penitential communication
is not subject to subdivision (a). For the purposes of this
subdivision, “penitential communication” means a communication,
intended to be in confidence, including, but not limited to, a
sacramental confession, made to a clergy member who, in the course of
the discipline or practice of his or her church, denomination, or
organization, is authorized or accustomed to hear those
communications, and under the discipline, tenets, customs, or
practices of his or her church, denomination, or organization, has a
duty to keep those communications secret.
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Attachment A
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(2) Nothing in this subdivision shall be construed to modify or
limit a clergy member’s duty to report known or suspected child abuse
or neglect when the clergy member is acting in some other capacity
that would otherwise make the clergy member a mandated reporter.
(3) (A) On or before January 1, 2004, a clergy member or any
custodian of records for the clergy member may report to an agency
specified in Section 11165.9 that the clergy member or any custodian
of records for the clergy member, prior to January 1, 1997, in his or
her professional capacity or within the scope of his or her
employment, other than during a penitential communication, acquired
knowledge or had a reasonable suspicion that a child had been the
victim of sexual abuse and that the clergy member or any custodian of
records for the clergy member did not previously report the abuse to
an agency specified in Section 11165.9. The provisions of Section
11172 shall apply to all reports made pursuant to this paragraph.
(B) This paragraph shall apply even if the victim of the known or
suspected abuse has reached the age of majority by the time the
required report is made.
(C) The local law enforcement agency shall have jurisdiction to
investigate any report of child abuse made pursuant to this paragraph
even if the report is made after the victim has reached the age of
majority.
(e) (1) A commercial film, photographic print, or image processor
who has knowledge of or observes, within the scope of his or her
professional capacity or employment, any film, photograph, videotape,
negative, slide, or any representation of information, data, or an
image, including, but not limited to, any film, filmstrip, photograph,
negative, slide, photocopy, videotape, video laser disc, computer
hardware, computer software, computer floppy disk, data storage
medium, CD-ROM, computer-generated equipment, or computer-generated
image depicting a child under 16 years of age engaged in an act of
sexual conduct, shall, immediately or as soon as practicably possible,
telephonically report the instance of suspected abuse to the law
enforcement agency located in the county in which the images are
seen. Within 36 hours of receiving the information concerning the
incident, the reporter shall prepare and send, fax, or electronically
transmit a written followup report of the incident with a copy of the
image or material attached.
(2) A commercial computer technician who has knowledge of or
observes, within the scope of his or her professional capacity or
employment, any representation of information, data, or an image,
including, but not limited to, any computer hardware, computer
software, computer file, computer floppy disk, data storage medium,
CD-ROM, computer-generated equipment, or computer-generated image that
is retrievable in perceivable form and that is intentionally saved,
transmitted, or organized on an electronic medium, depicting a child
under 16 years of age engaged in an act of sexual conduct, shall
immediately, or as soon as practicably possible, telephonically report
the instance of suspected abuse to the law enforcement agency located
in the county in which the images or materials are seen. As soon as
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Attachment A
Page 11 of 14
practicably possible after receiving the information concerning the
incident, the reporter shall prepare and send, fax, or electronically
transmit a written followup report of the incident with a brief
description of the images or materials.
(3) For purposes of this article, “commercial computer technician”
includes an employee designated by an employer to receive reports
pursuant to an established reporting process authorized by
subparagraph (B) of paragraph (43) of subdivision (a) of Section
11165.7.
(4) As used in this subdivision, “electronic medium” includes, but
is not limited to, a recording, CD-ROM, magnetic disk memory, magnetic
tape memory, CD, DVD, thumbdrive, or any other computer hardware or
media.
(5) As used in this subdivision, “sexual conduct” means any of the
following:
(A) Sexual intercourse, including genital-genital, oral-genital,
anal-genital, or oral-anal, whether between persons of the same or
opposite sex or between humans and animals.
(B) Penetration of the vagina or rectum by any object.
(C) Masturbation for the purpose of sexual stimulation of the
viewer.
(D) Sadomasochistic abuse for the purpose of sexual stimulation of
the viewer.
(E) Exhibition of the genitals, pubic, or rectal areas of a person
for the purpose of sexual stimulation of the viewer.
(f) Any mandated reporter who knows or reasonably suspects that the
home or institution in which a child resides is unsuitable for the
child because of abuse or neglect of the child shall bring the
condition to the attention of the agency to which, and at the same
time as, he or she makes a report of the abuse or neglect pursuant to
subdivision (a).
(g) Any other person who has knowledge of or observes a child whom
he or she knows or reasonably suspects has been a victim of child
abuse or neglect may report the known or suspected instance of child
abuse or neglect to an agency specified in Section 11165.9. For
purposes of this section, “any other person” includes a mandated
reporter who acts in his or her private capacity and not in his or her
professional capacity or within the scope of his or her employment.
(h) When two or more persons, who are required to report, jointly
have knowledge of a known or suspected instance of child abuse or
neglect, and when there is agreement among them, the telephone report
may be made by a member of the team selected by mutual agreement and a
single report may be made and signed by the selected member of the
reporting team. Any member who has knowledge that the member
designated to report has failed to do so shall thereafter make the
report.
(i) (1) The reporting duties under this section are individual, and
no supervisor or administrator may impede or inhibit the reporting
duties, and no person making a report shall be subject to any sanction
for making the report. However, internal procedures to facilitate
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Revised July 21, 2017
Attachment A
Page 12 of 14
reporting and apprise supervisors and administrators of reports may be
established provided that they are not inconsistent with this article.
(2) The internal procedures shall not require any employee required
to make reports pursuant to this article to disclose his or her
identity to the employer.
(3) Reporting the information regarding a case of possible child
abuse or neglect to an employer, supervisor, school principal, school
counselor, coworker, or other person shall not be a substitute for
making a mandated report to an agency specified in Section 11165.9.
(j) (1) A county probation or welfare department shall immediately,
or as soon as practicably possible, report by telephone, fax, or
electronic transmission to the law enforcement agency having
jurisdiction over the case, to the agency given the responsibility for
investigation of cases under Section 300 of the Welfare and
Institutions Code, and to the district attorney’s office every known
or suspected instance of child abuse or neglect, as defined in Section
11165.6, except acts or omissions coming within subdivision (b) of
Section 11165.2, or reports made pursuant to Section 11165.13 based on
risk to a child that relates solely to the inability of the parent to
provide the child with regular care due to the parent’s substance
abuse, which shall be reported only to the county welfare or probation
department. A county probation or welfare department also shall send,
fax, or electronically transmit a written report thereof within 36
hours of receiving the information concerning the incident to any
agency to which it makes a telephone report under this subdivision.
(2) A county probation or welfare department shall immediately, and
in no case in more than 24 hours, report to the law enforcement agency
having jurisdiction over the case after receiving information that a
child or youth who is receiving child welfare services has been
identified as the victim of commercial sexual exploitation, as defined
in subdivision (d) of Section 11165.1.
(3) When a child or youth who is receiving child welfare services
and who is reasonably believed to be the victim of, or is at risk of
being the victim of, commercial sexual exploitation, as defined in
Section 11165.1, is missing or has been abducted, the county probation
or welfare department shall immediately, or in no case later than 24
hours from receipt of the information, report the incident to the
appropriate law enforcement authority for entry into the National
Crime Information Center database of the Federal Bureau of
Investigation and to the National Center for Missing and Exploited
Children.
(k) A law enforcement agency shall immediately, or as soon as
practicably possible, report by telephone, fax, or electronic
transmission to the agency given responsibility for investigation of
cases under Section 300 of the Welfare and Institutions Code and to
the district attorney’s office every known or suspected instance of
child abuse or neglect reported to it, except acts or omissions coming
within subdivision (b) of Section 11165.2, which shall be reported
only to the county welfare or probation department. A law enforcement
agency shall report to the county welfare or probation department
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Attachment A
Page 13 of 14
every known or suspected instance of child abuse or neglect reported
to it which is alleged to have occurred as a result of the action of a
person responsible for the child’s welfare, or as the result of the
failure of a person responsible for the child’s welfare to adequately
protect the minor from abuse when the person responsible for the
child’s welfare knew or reasonably should have known that the minor
was in danger of abuse. A law enforcement agency also shall send, fax,
or electronically transmit a written report thereof within 36 hours of
receiving the information concerning the incident to any agency to
which it makes a telephone report under this subdivision.
11166.01 (a) Except as provided in subdivision (b), any supervisor or
administrator who violates paragraph (1) of subdivision (i) of Section
11166 shall be punished by not more than six months in a county jail,
by a fine of not more than one thousand dollars ($1,000), or by both
that fine and imprisonment.
(b) Notwithstanding Section 11162 or subdivision (c) of Section
11166, any mandated reporter who willfully fails to report abuse or
neglect, or any person who impedes or inhibits a report of abuse or
neglect, in violation of this article, where that abuse or neglect
results in death or great bodily injury, shall be punished by not more
than one year in a county jail, by a fine of not more than five
thousand dollars ($5,000), or by both that fine and imprisonment.
11167. (a) Reports of suspected child abuse or neglect pursuant to
Section 11166 or Section 11166.05 shall include the name, business
address, and telephone number of the mandated reporter; the capacity
that makes the person a mandated reporter; and the information that
gave rise to the reasonable suspicion of child abuse or neglect and
the source or sources of that information. If a report is made, the
following information, if known, shall also be included in the report:
the child’s name, the child’s address, present location, and, if
applicable, school, grade, and class; the names, addresses, and
telephone numbers of the child’s parents or guardians; and the name,
address, telephone number, and other relevant personal information
about the person or persons who might have abused or neglected the
child. The mandated reporter shall make a report even if some of this
information is not known or is uncertain to him or her.
(b) Information relevant to the incident of child abuse or neglect
and information relevant to a report made pursuant to Section 11166.05
may be given to an investigator from an agency that is investigating
the known or suspected case of child abuse or neglect.
(c) Information relevant to the incident of child abuse or neglect,
including the investigation report and other pertinent materials, and
information relevant to a report made pursuant to Section 11166.05 may
be given to the licensing agency when it is investigating a known or
suspected case of child abuse or neglect.
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Attachment A
Page 14 of 14
(d) (1) The identity of all persons who report under this article
shall be confidential and disclosed only among agencies receiving or
investigating mandated reports, to the prosecutor in a criminal
prosecution or in an action initiated under Section 602 of the Welfare
and Institutions Code arising from alleged child abuse, or to counsel
appointed pursuant to subdivision (c) of Section 317 of the Welfare
and Institutions Code, or to the county counsel or prosecutor in a
proceeding under Part 4 (commencing with Section 7800) of Division 12
of the Family Code or Section 300 of the Welfare and Institutions
Code, or to a licensing agency when abuse or neglect in out-of-home
care is reasonably suspected, or when those persons waive
confidentiality, or by court order.
(2) No agency or person listed in this subdivision shall disclose
the identity of any person who reports under this article to that
person’s employer, except with the employee’s consent or by court
order.
(e) Notwithstanding the confidentiality requirements of this
section, a representative of a child protective services agency
performing an investigation that results from a report of suspected
child abuse or neglect made pursuant to Section 11166 or Section
11166.05, at the time of the initial contact with the individual who
is subject to the investigation, shall advise the individual of the
complaints or allegations against him or her, in a manner that is
consistent with laws protecting the identity of the reporter under
this article.
(f) Persons who may report pursuant to subdivision (g) of Section
11166 are not required to include their names.
Executive Order 1083
Revised July 21, 2017
Attachment B
Page 1 of 1
CATEGORIES OF MANDATED REPORTERS
Note: Brackets indicate relevant subsections of Penal Code Section 11165.7(a)
General Reporters
o Teaching Associates [1]
o All Child care/community care/day care administrators and staff (e.g., Early Childhood
Teacher Series) [10]
o All campus police officers and staff (This includes chiefs, lieutenants, sergeants, cadets,
police dispatchers, community service officers, parking officers, student employees and any
other employee of the campus police department.) [19 and 34]
o Physicians, physician assistants, licensed vocational nurses, psychologists, social workers,
clinical counselors, registered psychological assistants, and marriage/family/child counselors,
therapists or trainees (e.g., Counsellor Intern Series) (This category would include faculty if
they fit within one of these categories and are licensed by or registered with the state.) [21]
o Alcohol and drug counselors [38]
o CSU employees who staff summer camps, workshops and clinics open to minors, including
athletic camps, that take place on a CSU campus or are operated by the CSU (e.g.,
Management Personnel Plan Athletic Coaches, Athletic Directors, Associate and Assistant
Athletic Directors) [6, 7, and/or 8]
o Summer Bridge coordinators and residential staff [8]
o Student Life/Residence Hall staff, and outreach staff who participate in overnight programs
[8]
o New and Prospective Student Orientation staff [8]
o CSU employees who provide services for children, including employees who participate in:
- Upward Bound [8]
- Talent Search [8]
- Gear Up [8]
o Employees in ESL programs [1, 7, and/or 8]
o ELP Instructors [1]
o Athletic head coaches, assistant coaches, coaches’ assistants, advisors, trainers, and
strength / conditioning staff (e.g., Management Personnel Plan Athletic Coaches, Head
Coaches, Coaches, Coaching Specialists, Coaching Assistants, Athletic Equipment Attendant
series, and Athletic Trainer series) [8 and 44]
Limited Reporters
o Faculty who are assigned to teach lower-division undergraduate courses or who are likely to
be assigned to teach such courses in the future [41]
o Custodial, maintenance, facilities and trades employees who service buildings where children
are likely to be present (including high schools located on campus) [41]
o All other employees who have regular contact with children (i.e., whose job duties bring
them into close physical proximity to anyone under 18 years of age once a week or more, on
average) or who supervise such employees [41]
o All Management Personnel Plan employees [CSU policy]
o All volunteers [CSU policy]
Executive Order 1083
Revised July 21, 2017
Page 1 of 3
Attachment C
STATEMENT ACKNOWLEDGING REQUIREMENT
TO REPORT CHILD ABUSE AND NEGLECT
[USE FOR LIMITED REPORTERS ONLY]
INSTRUCTION FOR HUMAN RESOURCES: Provide this form, as well as Attachments A and B of
Executive Order 1083 Revised July 21, 2017, to employees who are identified as Limited Reporters*. Retain
the completed form in the employee’s official personnel file.
*Exception: Non-Management Personnel Plan employees hired prior to January 1, 1985
California law requires certain people, known as “Mandated Reporters,” to report known or suspected
child abuse or neglect. You have been identified as a certain type of Mandated Reporter: a Limited
Reporter under Penal Code § 11165.7(a)(41). As a Mandated Reporter, you are required by the law to sign
this statement acknowledging your legal reporting obligations.
A copy of the relevant provisions of the law explaining the definition of “Mandated Reporter” (Penal Code
§ 11165.7), the reporting obligations (Penal Code § 11166), penalty for failure to report abuse or impeding
report (Penal Code § 11166.01), the contents of the reports, and the confidentiality of the Mandated
Reporter’s identity (Penal Code § 11167) is attached.
Online training is available to you at https://ds.calstate.edu/?svc=skillsoft (under keyword search
“Mandated Reporter”).
While it is not required, we strongly encourage you to take the training.
WHEN REPORTING ABUSE IS REQUIRED
As a Limited Reporter, whenever in your professional capacity or within the scope of your employment
you have knowledge of or observe a person under the age of 18 years whom you know or reasonably
suspect has been the victim of child abuse or neglect on CSU premises or at an official activity of, or
program conducted by, the CSU, you must report the suspected incident (Penal Code §§ 11166(a) and
11165.7(a)(41)).
PROCEDURE FOR REPORTING
To make a report, you must do the following:
• Immediately, or as soon as practically possible, contact by phone one of the following: police or
sheriff’s department (including campus police but not including a school district police or security
department); a county probation department (if designated by the county to receive mandated
reports); or the county welfare department (Child Protective Services or CPS).
• Within 36 hours of receiving the information concerning the incident: complete Form SS 8572
(available online at http://ag.ca.gov/childabuse/pdf/ss_8572.pdf
) per the instructions (available
online at http://ag.ca.gov/childabuse/pdf/8572_instruct.pdf); and send, fax or electronically
transmit it to the agency that was contacted by phone (Penal Code § 11166(a)).
Executive Order 1083
Revised July 21, 2017
Page 2 of 3
Attachment C
Names and contact information for agencies that can accept reports are available online at the following
websites:
California State University Police Departments (by campus):
http://calstate.edu/strategicinitiatives/UPD/contacts.shtml
Child Protective Services (by county):
http://www.hwcws.cahwnet.gov/countyinfo/county_contacts/hotline_numbers.asp
For Sheriffs’ Departments (by county):
http://www.calsheriffs.org/sheriffs-offices.html
Note: Reporting to a supervisor, a coworker, or other person is not a substitute for making a mandated
report to one of the agencies listed above.
ABUSE AND NEGLECT THAT MUST BE REPORTED
Physical abuse, meaning physical injury other than by accidental means inflicted on a child (Penal Code
§ 11165.6).
Sexual assault, including sex acts with a child, intentional masturbation in the presence of a child, child
molestation, and lewd or lascivious acts with a child under 14 years of age or with a child under 16 years of
age if the other person is at least ten years older than the child (Penal Code § 11165.1(a)(b)).
Sexual exploitation, including acts relating to child pornography, child prostitution, or performances
involving obscene sexual conduct by a child (Penal Code § 11165.1(c)).
Statutory rape involving sexual intercourse between a child under 16 years of age and a person 21 years
of age or older, which is also a form of “sexual assault” (Penal Code § 11165.1(a)).
Neglect, meaning the negligent treatment or maltreatment of a child by a parent, guardian or caretaker
under circumstances indicating harm or threatened harm to the child’s health or welfare (Penal Code
§ 11165.2).
Willful harming or injuring or endangering a child, meaning a situation in which any person inflicts, or
willfully causes or permits a child to suffer, unjustifiable physical pain or mental suffering, or causes or
permits a child to be placed in a situation in which the child or child’s health is endangered (Penal Code
§ 11165.3).
Unlawful corporal punishment, meaning a situation in which any person willfully inflicts upon a child
cruel or inhuman corporal punishment or a physical injury (Penal Code § 11165.4).
WHAT IS NOT CHILD ABUSE OR NEGLECT?
The law does not consider the following child abuse or neglect for reporting purposes:
• Injuries caused by two children fighting during a mutual altercation (Penal Code § 11165.6)
• An injury caused by reasonable and necessary force used by a peace officer acting within the
course and scope of his or her employment (Penal Code § 11165.6)
Executive Order 1083
Revised July 21, 2017
Page 3 of 3
Attachment C
• Reasonable and necessary force used by public school officials to quell a disturbance threatening
physical injury to person or damage to property, for self-defense, or to obtain possession of
weapons or other dangerous objects under a child’s control (Penal Code § 11165.4)
• Corporal punishment, unless it is cruel or inhumane or willfully inflicts a physical injury (Penal
Code § 11165.4)
• Not receiving medical treatment for religious reasons (Penal Code § 11165.2(b))
• Acts performed for a valid medical purpose (Penal Code § 11165.1(b)(3))
• An informed and appropriate medical decision made by a parent or parent, guardian or caretaker
after consultation with a physician who has examined the child (Penal Code § 11165.2(b))
IMMUNITY AND CONFIDENTIALITY OF REPORTER
Mandated Reporters cannot be held civilly or criminally liable for their reports. Instead, they enjoy
immunity from prosecution for their reporting of suspected child abuse (Penal Code § 11172(a)). Both the
identity of the person who reports and the report itself are confidential and disclosed only among
appropriate agencies (Penal Code § 11167(d)).
PENALTY FOR FAILURE TO REPORT ABUSE OR IMPEDING REPORT
A Mandated Reporter who fails to make a required report of abuse, or any administrator or supervisor who
impedes or inhibits a report, is guilty of a misdemeanor punishable by up to six months in jail, a fine of
$1,000, or both (Penal Code Section 11166(c) and Section 11166.01(a)). Where the abuse results in death
or great bodily injury, the Mandated Reporter who fails to make a required report or administrator or
supervisor who impeded or inhibited the report is subject to punishment of up to one year in jail, a fine of
$5,000, or both (Penal Code Section 11166.01(b)).
ACKNOWLEDGMENT
I acknowledge being provided with copies of Penal Code Sections 11165.7, 11166, 11166.01, and 11167.
I acknowledge and understand my responsibility and legal obligation to report known or suspected child
abuse or neglect in compliance with Penal Code Section 11166.
Employee’s Name: ____________________________________ Dept.: __________________________
Signature: ___________________________________________ Date: ___________________________
Executive Order 1083
Revised July 21, 2017
Page 1 of 3
Attachment D
STATEMENT ACKNOWLEDGING REQUIREMENT
TO REPORT CHILD ABUSE AND NEGLECT
[USE FOR GENERAL REPORTERS ONLY]
INSTRUCTION FOR HUMAN RESOURCES: Provide this form, as well as Attachments A and B of
Executive Order 1083 Revised July 21, 2017, to employees who are identified as General Reporters*. Retain
the completed form in the employee’s official personnel file.
*Exception: Non-Management Personnel Plan employees hired prior to January 1, 1985
California law requires certain people, known as “Mandated Reporters,” to report known or suspected
child abuse or neglect. You have been identified as a Mandated Reporter (General Reporter). As a
General Reporter, you are required by the law to sign this statement acknowledging your legal reporting
obligations.
A copy of the relevant provisions of the law explaining the definition of “Mandated Reporter” (Penal
Code § 11165.7), the reporting obligations (Penal Code § 11166), penalty for failure to report abuse or
impeding report (Penal Code § 11166.01), the contents of the reports, and the confidentiality of the
Mandated Reporter’s identity (Penal Code § 11167) is attached.
Online training is available to you at https://ds.calstate.edu/?svc=skillsoft (under keyword search
“Mandated Reporter”).
While it is not required, we strongly encourage you to take the training.
WHEN REPORTING ABUSE IS REQUIRED
As a Mandated Reporter (General Reporter), whenever in your professional capacity or within the scope
of your employment you have knowledge of or observe a person under the age of 18 years whom you
know or reasonably suspect has been the victim of child abuse or neglect, you must report the suspected
incident, no matter where it occurred (Penal Code §§ 11166(a)).
PROCEDURE FOR REPORTING
To make a report, you must do the following:
• Immediately, or as soon as practically possible, contact by phone one of the following: police or
sheriff’s department (including campus police, but not including a school district police or
security department); a county probation department (if designated by the county to receive
mandated reports); or the county welfare department (Child Protective Services or CPS).
• Within 36 hours of receiving the information concerning the incident: complete Form SS 8572
(available online at http://ag.ca.gov/childabuse/pdf/ss_8572.pdf
) per the instructions (available
online at http://ag.ca.gov/childabuse/pdf/8572_instruct.pdf); and send, fax or electronically
transmit it to the agency that was contacted by phone (Penal Code § 11166(a)).
Executive Order 1083
Revised July 21, 2017
Page 2 of 3
Attachment D
Names and contact information for agencies that can accept reports are available online at the following
websites:
California State University Police Departments (by campus):
http://calstate.edu/strategicinitiatives/UPD/contacts.shtml
Child Protective Services (by county):
http://www.hwcws.cahwnet.gov/countyinfo/county_contacts/hotline_numbers.asp
For Sheriffs’ Departments (by county):
http://www.calsheriffs.org/sheriffs-offices.html
Note: Reporting to a supervisor, a coworker, or other person is not a substitute for making a mandated
report to one of the agencies listed above.
ABUSE AND NEGLECT THAT MUST BE REPORTED
Physical abuse, meaning physical injury other than by accidental means inflicted on a child (Penal Code
§ 11165.6).
Sexual assault, including sex acts with a child, intentional masturbation in the presence of a child, child
molestation, and lewd or lascivious acts with a child under 14 years of age or with a child under 16 years
of age if the other person is at least ten years older than the child (Penal Code § 11165.1(a)(b)).
Sexual exploitation, including acts relating to child pornography, child prostitution, or performances
involving obscene sexual conduct by a child (Penal Code § 11165.1(c)).
Statutory rape involving sexual intercourse between a child under 16 years of age and a person 21 years
of age or older, which is also a form of “sexual assault” (Penal Code § 11165.1(a)).
Neglect, meaning the negligent treatment or maltreatment of a child by a parent, guardian or caretaker
under circumstances indicating harm or threatened harm to the child’s health or welfare (Penal Code
§ 11165.2).
Willful harming or injuring or endangering a child meaning a situation in which any person inflicts, or
willfully causes or permits a child to suffer unjustifiable physical pain or mental suffering, or causes or
permits a child to be placed in a situation in which the child or child’s health is endangered (Penal Code
§ 11165.3).
Unlawful corporal punishment, meaning a situation in which any person willfully inflicts upon a child
cruel and inhuman corporal punishment or a physical injury (Penal Code § 11165.4).
WHAT IS NOT CHILD ABUSE OR NEGLECT?
The law does not consider the following child abuse or neglect for reporting purposes:
• Injuries caused by two children fighting during a mutual altercation (Penal Code § 11165.6)
• An injury caused by reasonable and necessary force used by a peace officer acting within the
course and scope of his or her employment (Penal Code § 11165.6)
Executive Order 1083
Revised July 21, 2017
Page 3 of 3
Attachment D
• Reasonable and necessary force used by public school officials to quell a disturbance threatening
physical injury to person or damage to property, for self-defense, or to obtain possession of
weapons or other dangerous objects under a child’s control (Penal Code § 11165.4)
• Corporal punishment, unless it is cruel or inhumane or willfully inflicts a physical injury (Penal
Code § 11165.4)
• Not receiving medical treatment for religious reasons (Penal Code § 11165.2(b))
• Acts performed for a valid medical purpose (Penal Code § 11165.1(b)(3))
• An informed and appropriate medical decision made by a parent, guardian or caretaker after
consultation with a physician who has examined the child (Penal Code § 11165.2(b))
IMMUNITY AND CONFIDENTIALITY OF REPORTER
Mandated Reporters cannot be held civilly or criminally liable for their reports. Instead, they enjoy
immunity from prosecution for their reporting of suspected child abuse (Penal Code § 11172(a)). Both the
identity of the person who reports and the report itself are confidential and disclosed only among
appropriate agencies (Penal Code § 11167(d)).
PENALTY FOR FAILURE TO REPORT ABUSE OR IMPEDING REPORT
A Mandated Reporter who fails to make a required report of abuse, or any administrator or supervisor
who impedes or inhibits a report, is guilty of a misdemeanor punishable by up to six months in jail, a fine
of $1,000, or both (Penal Code Section 11166(c) and Section 11166.01(a)). Where the abuse results in
death or great bodily injury, the Mandated Reporter who fails to make a required report or administrator
or supervisor who impeded or inhibited the report is subject to punishment of up to one year in jail, a fine
of $5,000, or both (Penal Code Section 11166.01(b)).
ACKNOWLEDGMENT
I acknowledge being provided with copies of Penal Code Sections 11165.7, 11166, 11166.01, and 11167.
I acknowledge and understand my responsibility and legal obligation to report known or suspected child
abuse or neglect in compliance with Penal Code Section 11166.
Employee’s Name: ____________________________________ Dept.: __________________________
Signature: ___________________________________________ Date: ___________________________
NAME OF MANDATED REPORTER TITLE MANDATED REPORTER CATEGORY
REPORTER'S BUSINESS/AGENCY NAME AND ADDRESS Street City Zip DID MANDATED REPORTER WITNESS THE INCIDENT?
❒ YES ❒ NO
REPORTER'S TELEPHONE (DAYTIME) SIGNATURE TODAY'S DATE
( )
❒ LAW ENFORCEMENT ❒ COUNTY PROBATION AGENCY
❒ COUNTY WELFARE / CPS (Child Protective Services)
ADDRESS Street City Zip DATE/TIME OF PHONE CALL
OFFICIAL CONTACTED - TITLE TELEPHONE
( )
NAME (LAST, FIRST, MIDDLE) BIRTHDATE OR APPROX. AGE SEX ETHNICITY
ADDRESS Street City Zip TELEPHONE
( )
PRESENT LOCATION OF VICTIM SCHOOL CLASS GRADE
PHYSICALLY DISABLED? DEVELOPMENTALLY DISABLED? OTHER DISABILITY (SPECIFY) PRIMARY LANGUAGE
❘❒ YES ❒ NO ❒ YES ❒ NO SPOKEN IN HOME
IN FOSTER CARE? IF VICTIM WAS IN OUT-OF-HOME CARE AT TIME OF INCIDENT, CHECK TYPE OF CARE: TYPE OF ABUSE (CHECK ONE OR MORE)
❒ YES ❒ DAY CARE ❒ CHILD CARE CENTER ❒ FOSTER FAMILY HOME ❒ FAMILY FRIEND ❒ PHYSICAL ❒ MENTAL ❒ SEXUAL ❒ NEGLECT
❒ NO ❒ GROUP HOME OR INSTITUTION ❒ RELATIVE'S HOME ❒ OTHER (SPECIFY)
RELATIONSHIP TO SUSPECT PHOTOS TAKEN? DID THE INCIDENT RESULT IN THIS
❒ YES ❒ NO VICTIM'S DEATH? ❒ YES ❒ NO ❒ UNK
NAME BIRTHDATE SEX ETHNICITY NAME BIRTHDATE SEX ETHNICITY
1. 3.
2. 4.
NAME (LAST, FIRST, MIDDLE) BIRTHDATE OR APPROX. AGE SEX ETHNICITY
ADDRESS Street City Zip HOME PHONE BUSINESS PHONE
( ) ( )
NAME (LAST, FIRST, MIDDLE) BIRTHDATE OR APPROX. AGE SEX ETHNICITY
ADDRESS Street City Zip HOME PHONE BUSINESS PHONE
( ) ( )
SUSPECT'S NAME (LAST, FIRST, MIDDLE) BIRTHDATE OR APPROX. AGE SEX ETHNICITY
ADDRESS Street City Zip TELEPHONE
( )
OTHER RELEVANT INFORMATION
IF NECESSARY, ATTACH EXTRA SHEET(S) OR OTHER FORM(S) AND CHECK THIS BOX IF MULTIPLE VICTIMS, INDICATE NUMBER:
DATE / TIME OF INCIDENT PLACE OF INCIDENT
NARRATIVE DESCRIPTION (What victim(s) said/what the mandated reporter observed/what person accompanying the victim(s) said/similar or past incidents involving the victim(s) or suspect)
A.
REPORTING
PARTY
❒
D. INVOLVED PARTIES
VICTIM'S
SIBLINGS
SUSPECTED CHILD ABUSE REPORT
DEFINITIONS AND INSTRUCTIONS ON REVERSE
DO NOT submit a copy of this form to the Department of Justice (DOJ). The investigating agency is required under Penal Code Section 11169 to submit to DOJ a
Child Abuse Investigation Report Form SS 8583 if (1) an active investigation was conducted and (2) the incident was determined not to be unfounded.
WHITE COPY-Police or Sheriff's Department; BLUE COPY-County Welfare or Probation Department; GREEN COPY- District Attorney's Office; YELLOW COPY-Reporting Party
SS 8572 (Rev. 12/02)
B. REPORT
NOTIFICATION
E. INCIDENT INFORMATION
SUSPECT
VICTIM'S
PARENTS/GUARDIANS
CASE NAME:
CASE NUMBER:
To Be Completed by Mandated Child Abuse Reporters
Pursuant to Penal Code Section 11166
PLEASE PRINT OR TYPE
C. VICTIM
One report per victim
Executive Order 1083 Revised July 21, 2017 - Attachment E
Reset Form
Print
DEFINITIONS AND GENERAL INSTRUCTIONS FOR COMPLETION OF FORM SS 8572
All Penal Code (PC) references are located in Article 2.5 of the PC. This article is known as the Child Abuse and Neglect Reporting
Act (CANRA). The provisions of CANRA may be viewed at: http://www.leginfo.ca.gov/calaw.html (specify ƒPenal Code≈ and search
for Sections 11164-11174.3). A mandated reporter must complete and submit the form SS 8572 even if some of the requested
information is not known. (PC Section 11167(a).)
I. MANDATED CHILD ABUSE REPORTERS
• Mandated child abuse reporters include all those individuals
and entities listed in PC Section 11165.7.
II. TO WHOM REPORTS ARE TO BE MADE
(ƒDESIGNATED AGENCIES≈)
• Reports of suspected child abuse or neglect shall be made by
mandated reporters to any police department or sheriff«s
department (not including a school district police or security
department), the county probation department (if designated
by the county to receive mandated reports), or the county
welfare department. (PC Section 11165.9.)
III. REPORTING RESPONSIBILITIES
• Any mandated reporter who has knowledge of or observes a
child, in his or her professional capacity or within the scope
of his or her employment, whom he or she knows or
reasonably suspects has been the victim of child abuse or
neglect shall report such suspected incident of abuse or
neglect to a designated agency immediately or as soon as
practically possible by telephone and shall prepare and send
a written report thereof within 36 hours of receiving the
information concerning the incident. (PC Section 11166(a).)
• No mandated reporter who reports a suspected incident of
child abuse or neglect shall be held civilly or criminally
liable for any report required or authorized by CANRA. Any
other person reporting a known or suspected incident of child
abuse or neglect shall not incur civil or criminal liability as a
result of any report authorized by CANRA unless it can be
proven the report was false and the person knew it was false
or made the report with reckless disregard of its truth or
falsity. (PC Section 11172(a).)
IV. INSTRUCTIONS
• SECTION A - REPORTING PARTY: Enter the mandated
reporter«s name, title, category (from PC Section 11165.7),
business/agency name and address, daytime telephone
number, and today«s date. Check yes-no whether the
mandated reporter witnessed the incident. The signature area
is for either the mandated reporter or, if the report is
telephoned in by the mandated reporter, the person taking the
telephoned report.
IV. INSTRUCTIONS (Continued)
• SECTION B - REPORT NOTIFICATION: Complete the
name and address of the designated agency notified, the date/
time of the phone call, and the name, title, and telephone
number of the official contacted.
• SECTION C - VICTIM (One Report per Victim): Enter
the victim«s name, address, telephone number, birth date or
approximate age, sex, ethnicity, present location, and, where
applicable, enter the school, class (indicate the teacher«s
name or room number), and grade. List the primary
language spoken in the victim«s home. Check the appropriate
yes-no box to indicate whether the victim may have a
developmental disability or physical disability and specify
any other apparent disability. Check the appropriate yes-no
box to indicate whether the victim is in foster care, and check
the appropriate box to indicate the type of care if the victim
was in out-of-home care. Check the appropriate box to
indicate the type of abuse. List the victim«s relationship to
the suspect. Check the appropriate yes-no box to indicate
whether photos of the injuries were taken. Check the
appropriate box to indicate whether the incident resulted in
the victim«s death.
• SECTION D - INVOLVED PARTIES: Enter the requested
information for: Victim«s Siblings, Victim«s Parents/
Guardians, and Suspect. Attach extra sheet(s) if needed
(provide the requested information for each individual on the
attached sheet(s)).
• SECTION E - INCIDENT INFORMATION: If multiple
victims, indicate the number and submit a form for each
victim. Enter date/time and place of the incident. Provide a
narrative of the incident. Attach extra sheet(s) if needed.
V. DISTRIBUTION
• Reporting Party: After completing Form SS 8572, retain
the yellow copy for your records and submit the top three
copies to the designated agency.
• Designated Agency: Within 36 hours of receipt of Form
SS 8572, send white copy to police or sheriff«s department,
blue copy to county welfare or probation department, and
green copy to district attorney«s office.
ETHNICITY CODES
1 Alaskan Native 6 Caribbean 11 Guamanian 16 Korean 22 Polynesian 27 White-Armenian
2 American Indian 7 Central American 12 Hawaiian 17 Laotian 23 Samoan 28 White-Central American
3 Asian Indian 8 Chinese 13 Hispanic 18 Mexican 24 South American 29 White-European
4 Black 9 Ethiopian 14 Hmong 19 Other Asian 25 Vietnamese 30 White-Middle Eastern
5 Cambodian 10 Filipino 15 Japanese 21 Other Pacific Islander 26 White 31 White-Romanian
Executive Order 1083 Revised July 21, 2017 - Attachment E
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