If the Foster Care Ombudsman's Office receives a complaint regarding child abuse, we
are required by law to report this to Child Protective Services and/or Community Care
Information About the Foster Youth:
Name of Home/Group Home
Address of Home/Group Home
Name of Social Worker
Phone Number of Social Worker
Complaint (Include names, dates, locations, conversations, etc.):
Information About You (the Complaintant)
Are you the foster youth?
If no, what is your relationship to the youth involved?