NNorCal Family AdvocacyCPS · courts · family preservation

CPS and court intake · about 5–7 minutes

Tell us what happened in your CPS or family-court case.

We connect families and identify repeated problems involving child-welfare agencies, removal, placement, services, dependency court, and related family-court proceedings. You do not need to tell your whole story today.

Protect children’s privacy. Do not enter a child’s full name or confidential records here. We can arrange a private follow-up if records are needed.
1

Safe contact

Share only what feels safe today.

Are you in a safe situation to complete this form? *
Safest contact method
2

Basic case information

Do not enter children’s full names.

Important deadline or removal threat within 30 days? *
3

What happened

Select every concern that fits.

Concerns in your experience
Records that may support your concerns
4

What help is wanted

Choose what would be useful now.

What would be most helpful?
May we contact you privately? *
Would you complete a detailed follow-up questionnaire? *
May we use your answers without identifying you in pattern reports? *

Your answers are stored privately for advocacy follow-up and pattern analysis.