Concerns for the Safety of the Children
Monterey Superior Court · Child Custody Mediation:
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Last updated July 3, 2026
This form is used when someone wants to tell the court that they believe children are being abused, neglected, or are otherwise in danger and need protection. A parent, relative, teacher, neighbor, or anyone else with concerns about a child's safety would use this form to request that the court take action to help protect that child.
This form must be printed and filled by hand, or opened in Adobe Acrobat.