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Online Child Abuse Neglect Reporting

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Tell us about the child you are concerned about:

Tell us about the child you are concerned about: Name Unknown?

First Name

Middle Name

Last Name

Suffix

Date Of Birth

Age (years)

Age (months)

Gender

Race

Ethnicity

Other Race

Language

Child Demographic Information

Do you know child's primary address?

Do you know child's primary address? Yes No

Select country

Street

Street

City

State

Zip

Is the child currently at their primary address?

Is the child currently at their primary address? Yes No Unknown

Do you know the child's current location?

Do you know the child's current location? Yes No

Child's Current Location

Street

Street

City

State

Zip

Does the child have a phone?

Does the child have a phone? Yes No Unknown

Phone Type

Phone Number

Is this person an active military dependent?

Is this person an active military dependent? Yes No Unknown

Military Branch

Military Base

Is this person an active military member?

Is this person an active military member? Yes No Unknown

Military Branch

Military Base

Are there any other names the child goes by?

Are there any other names the child goes by? Yes No Unknown

Alias Type

Alias First Name

Alias Middle Name

Alias Last Name

Describe how the child functions on a daily basis, socially, emotionally, physically, and cognitively. Include the child's name that you entered above within the narrative box below.

10% Complete (success)

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Contact Information

For Technical Issues: For Technical Issues:DCFS.OnlineReportingFeedback@illinois.gov
Child Abuse Hotline: (Child Abuse Hotline:1-800-252-2873)

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