Maine Revised Statutes Title 22. Health and Welfare § 4012. Reporting procedures

A. The name and address of the child and the persons responsible for the child's care or custody;

B. The child's age and sex;

C. The nature and extent of abuse or neglect, including a description of injuries and any explanation given for them;

D. A description of sexual abuse or exploitation;

E. Family composition and evidence of prior abuse or neglect of the child or the child's siblings;

F. The source of the report, the person making the report, the person's occupation and where the person can be contacted;

G. The actions taken by the reporting source, including a description of photographs or x rays taken; and

H. Any other information that the person making the report believes may be helpful.