<p>Recent studies have found that many healthcare professionals fail to report suspected cases of child abuse and neglect (CAN). The aim of this study is to assess the level of knowledge and awareness of reporting obligations of CAN for paramedics working Saudi Arabia. The participants were asked to complete an online questionnaire consisting of yes/no questions designed to assess knowledge of professional obligations related to relevant legislation and workplace policies and procedures, followed by short vignettes designed to elicit responses as to whether a situation indicated CAN, whether it met reporting requirements, and whether the participant would make a report. A total of 101 paramedics (20.2% response rate) participated in the study. Most participants were aged 26–30 years (39.6%) and were males (65.3%). The findings of the study showed that, in terms of knowledge of reporting obligations of CAN, the average correct response to the questions was 50.8% (range 12.9%-83.2%). Only 12.9% responded that they did not need firm evidence to report CAN. The analysis of short vignettes showed that that 60.4%-80.2% of participants correctly identified each vignette to contain depictions of CAN. However, they did not think that their employers would expect them to make a report (range of correct answers was 29.7%-38.6%) and not likely to make a report (range: 15.8%-27.7%). The findings suggest that further studies are needed to investigate barriers of reporting CAN and assess best practices to improve recognition and reporting of CAN.</p>