JV-122State (JC)Fillable

Serious Emotional Damage (§ 300 (c))

Judicial Council of California · Juvenile

Verified current as of July 31, 2026

This form documents and evaluates whether a child has suffered serious emotional damage as evidence in a child welfare case. Judges, social workers, and attorneys use it to determine if a child needs protection or removal from their home under California law.

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