Online Report Form | Child and Family Services

Begin

Thank you for your concern in helping keep children safe from abuse and neglect. Before submitting an Online Report, review the following bullet points.

Call 911 or your local law enforcement agency if you have an emergency or life-threatening situation that must be dealt with immediately.
Do not submit an online report for situations needing an urgent response, please call the Intake Hotline at 1-855-323-DCFS (3237).
Whether reporting online or via phone, a reporter’s identity is kept confidential.
- Information is gathered so that if a case is opened for investigation a caseworker can reach out to the reporter to gather any new information and notify of case closure. (Utah Code 80-2-1005 Confidentiality)
  Confidential means that my name and/or personal information will not be provided to the family as the person who made this report. DCFS and its employees will have access to the information I provide, and there may be instances where it is shared with others, such as law enforcement, to help them assess the concerns and contact me if necessary. DCFS will have my contact information to ask follow-up questions to better understand the situation; notify me if my report meets criteria to open a CPS investigation (accepted) or if it does not meet criteria (unaccepted); and notify me when a CPS investigation closes. (Utah Code 80-2-1005).
Online reports have a slower turnaround time than phone calls. The hotline number is available 24 hours a day, 7 days a week.
All reports of abuse, neglect, or dependency, including false reports, are taken seriously.
- A false report is when it is more likely than not that the person knew the report was false at the time the report was made. A false report can have legal consequences. (Utah Code 76-8-506 False Report; Utah Code 80-2-610 Immunity from Liability). Confidentiality may not apply if I am knowingly making a false report. (Utah code 80-2-611)
DCFS Intake cannot assist with custody matters or case updates. Custody matters, such as parent time, should be addressed with an attorney and/or the court.

In order to proceed, you must agree to the following:

Reporter

Your Information

First name*

Last name*

Phone number*

Email

Relationship to alleged victim

Agency/organization where you associate with the child (if applicable)

Mailing Address Line 1* (Please include Apt/Unit number if applicable)

City*

State*

ZIP*

Alleged Victim(s)

Unknown name

Age or date of birth

Gender*

Disabilities or special needs (if known)

Primary language

Unknown address

Address of residence, including apartment or unit number (or other way to locate)*

City*

State*

ZIP*

Visitation schedule (if applicable)

School or daycare (if known)

Sibling(s)

Siblings

Does the victim have any siblings?
YesNo

Has this sibling's information been entered previously in this form?
Previously enteredNew sibling

Name (First name, Last name)*

Unknown name

Age or date of birth

Gender*

Same address as victim

Unknown address

Address of residence*

City*

State*

ZIP*

Others in the Alleged Victim’s Primary Residence

Are there others that reside in the child’s primary residence, apart from those already listed?

YesNoUnknown

Name (First name, Last name)

Unknown name

Age or date of birth

Gender*

Phone number

Relationship to alleged victim

Alleged Perpetrator(s)

Has this individual's information been entered previously in this form?
Previously enteredNew personTheir identity is unknown

Name (First name, Last name)*

Unknown name

Age or date of birth

Gender*

Relationship to victim*

Phone number

Same address as victim

Unknown address

Address of residence*

City*

State*

ZIP*

The Alleged Perpetrator lives in the home or has current physical access to the child.

Review

Review Your Report

Please review the information below before submitting. If you need to make changes, you may return to parts of the form by using the "Previous step" button below.

Summary

Report child abuse or neglect

Child Abuse / Neglect Reporting form

Thank you for your concern in helping keep children safe from abuse and neglect. Before submitting an Online Report, review the following bullet points.

In order to proceed, you must agree to the following:

Your Information

Alleged Victim(s)

Parent(s)

Guardian/Caregiver(s)

Siblings

Others in the Alleged Victim’s Primary Residence

Alleged Perpetrator(s)

Narrative

Review Your Report