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 Licensing.

Complaint Form

Information About the Foster Youth:


Phone Number

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)

How would you prefer to be contacted by us?

Your Name

Your Phone

Your Address

Are you the foster youth?

If no, what is your relationship to the youth involved?