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Online Child Abuse Neglect Reporting

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Tell us about the adult involved

Tell us about the adult involved Name Unknown?

First Name

Middle Name

Last Name

Suffix

Date Of Birth

Age (years)

Age (months)

Gender

Race

Ethnicity

Other Race

Language

Do you know the involved adult's primary address? Do you know the involved adult's primary address? Yes No

Select country

Street

Street

City

State

Zip

Is the involved adult currently at their primary address? Is the involved adult currently at their primary address? Yes No Unknown

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

Adult's Current Location

Select country

Street

Street

City

State

Zip

Does the involved adult have a phone? Does the involved adult have a phone? Yes No Unknown

Phone Type

Phone Number

Is this person an active military member? Is this person an active military member? Yes No Unknown

Military Branch

Military Base

Is this person an active military dependent? Is this person an active military dependent? Yes No Unknown

Military Branch

Military Base

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

Alias Type

Alias First Name

Alias Middle Name

Alias Last Name

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Contact Information

Send feedback/suggestions: Send feedback/suggestions:DCFS.OnlineReportingFeedback@illinois.gov
Child Abuse Hotline: (Child Abuse Hotline:1-800-252-2873)

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