Making a Child Abuse Report
- http://www.ag.ca.gov/childabuse/pdf/ss_8572.pdf (this form may only be printed and manually filled out)
- Mail: CSOC/ACCESS, 101 Cirby Hills Dr. Ste 5, Roseville, CA 95678
- Fax: (916) 787-8915
- Email: firstname.lastname@example.org (see specific directions below)
To electronically fill out and email form: Click on this link to open form; SCAR_Suspected Child Abuse Report.doc; save to your hard drive; complete form and save. To submit completed form, click on email@example.com, attach and send.
Important information regarding confidentiality: Please be advised that should you choose to send your report via e-mail, to address confidentiality you must include the following language in your e-mail:
- CONFIDENTIALITY NOTICE: This communication contains legally privileged and confidential information sent solely for the use of the intended recipient. If you are not the intended recipient of this communication, you are not authorized to use it in any manner, except to immediately destroy it and notify the sender.
Please call 1–888–886–5401 if you have any questions regarding the reporting of child abuse, where our Client Services Assistants are available 24/7 to speak with you.