Child Abuse Central Index Forms
These forms are for use by government agencies and certain individuals to report information required by law in child abuse cases. If you suspect a case of child abuse in your neighborhood, you should contact your county child welfare agency or your local police department or sheriff's office.
Department of Justice (DOJ) Forms
If you have questions regarding the use of the forms, contact the Child Abuse Central Index (CACI) at: CACI-Inquiry@doj.ca.gov.
Child Abuse Central Index Inquiry Request for Out-of-State Foster & Adoption Agencies
Instructions and Form for use by for Out-of-State Foster & Adoption Agencies.
Child Abuse Central Index Self Inquiry Request
For use by citizens who want to request a self inquiry of the Child Abuse Central Index.
Child Abuse or Severe Neglect Indexing Form
For use by the submitting Child Protective Agency pursuant to Penal Code (PC) section 11169.
Facsimile Inquiry for Child Abuse Central Index (CACI) Search
This form is to be used by authorized Child Welfare Agencies and Law Enforcement only.
Live Scan Applicant Forms
For use by authorized agencies and nonprofit groups to request criminal background checks for prospective child placement and employment purposes. More information available from the Fingerprint Submissions Program.
Suspected Child Abuse Report Form
For use by mandated reporters to notify a reporting agency (local law enforcement, county probation or county welfare department) about suspected cases of child abuse. Also may be used to cross-report to another reporting agency.
The Governor's Office of Emergency Services (Cal OES) Forms
The forms below pertain to child abuse. For questions about the forms, contact Cal OES.
Medical Report: Suspected Child Physical Abuse and Neglect Examination.
Used by physicians for reporting evidence of child sexual abuse. Form should be used in lieu of DOJ Form 900 for cases of chronic sexual abuse of minors.
Mandated Suspicious Injury Report.