Child Abuse Central Index Forms

Child Abuse Central Index (CACI) Forms

This page provides forms related to the Child Abuse Central Index (CACI) and child abuse reporting requirements under the Child Abuse and Neglect Reporting Act (CANRA).

These forms are intended for mandated reporters, authorized agencies, and individuals requesting information about the CACI.

If you suspect child abuse or neglect, contact your local law enforcement agency or county child welfare agency immediately.

Reporting Suspected Child Abuse or Neglect

Suspected Child Abuse Report Form

Mandated reporters must use this form to report suspected child abuse or neglect to a reporting agency such as:

• Local law enforcement
• County welfare department
• County probation department

Available versions:

• BCIA 8572 (English)
• BCIA 8572 (Spanish)
• BCIA 8572 (Armenian)
• BCIA 8572 (Vietnamese)
• BCIA 8572 (Korean)
• BCIA 8572 (Russian)
• BCIA 8572 (Simplified Chinese)
• BCIA 8572 (Traditional Chinese)

Child Abuse or Severe Neglect Indexing Form – For Authorized Agencies ONLY

This form is used by authorized government agencies to submit substantiated child abuse or severe neglect case information to the CACI under California Penal Code section 11169.

• BCIA 8583

CACI Inquiry Forms

These forms are used to request information from the CACI.

Request for CACI Search

Used by authorized agencies requesting a CACI search.

• BCIA 4084

CACI Inquiry Request for Out-of-State Foster Care and Adoption Agencies

Used by out-of-state agencies requesting CACI information for screening related to foster care or adoption placements.

• BCIA 4057

CACI Self-Inquiry Request

Under California law, any person may use this form to determine whether their name appears in the CACI.

• BCIA 4056

Questions About These Forms

For assistance regarding CACI forms or their use, contact:

Child Abuse Central Index
California Department of Justice
Email: CACI-Inquiry@doj.ca.gov