JV-124State (JC)Fillable

Severe Physical Abuse (§ 300 (e))

Judicial Council of California · Juvenile

Verified current as of July 31, 2026

This form documents findings that a child has suffered severe physical abuse, which is grounds for the court to declare the child a dependent of the court under California law. Child protective services, attorneys, and judges use this form during dependency proceedings to establish that abuse occurred and to determine what custody and safety arrangements are needed for the child.

This form has fillable fields — you can complete it directly in the viewer on the right.
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