State of Illinois | Online Child Abuse Neglect Reporting: Home

Tell us about yourself

Are you a Mandated Reporter? Yes No

Do you wish to remain anonymous? Yes No

Prefix

First Name

Middle Name

Last Name

Suffix

Reporter Group

Reporter Type

Badge Number

Report Number

Agency/School/Department

Email Type

Email Address

Street

City

State

Zip

Phone Type

Phone Number

Extension

Although not required, please provide your phone number which will only be used in the event that more information about the incident is needed.

Additional phone number? Yes No

Phone Type

Additional Phone Number

Extension