Child protection ombuds complaint form

Name:

Contact email:

Contact number:

Address:

Relationship to child:

Child's name:

Child's age:

Who has custody:

DCFS employee named in complaint:

I have talked with DCFS:
YesNo

Complaint summary:

What outcome are you seeking by contacting CPO?

You will be contacted by the Office of Ombuds within three (3) business days of submitting your complaint.