A 51A report filed by a mandated reporter shall contain:
The names and addresses of the child and the child’s parents or other person responsible for the child’s care, if known;
The child’s age;
The child’s sex;
The nature and extent of the child’s injuries, abuse, maltreatment or neglect, including any evidence of prior injuries, abuse, maltreatment or neglect;
The circumstances under which the person required to report first became aware of the child’s injuries, abuse, maltreatment or neglect;
Whatever action, if any, was taken to treat, shelter or otherwise assist the child;
The name of the person or persons making the report;
Any other information that the person reporting believes might be helpful in establishing the cause of the injuries;
The identity of the person or persons responsible for the neglect or injuries; and