Help us protect Louisiana's children. Report Child Abuse & Neglect: 1-855-4LA-KIDS (1-855-452-5437) toll-free, 24 hours a day, seven days a week

Licensing-Critical & Other Incident Reporting Form

Instructions:
1) Fill out all sections of Incident Form
2) Return to top of page and press "File" and "Print" to print a copy of the Incident Report for your records.
3) Return to Incident Report and press "Submit" to send electronically to DCFS.

Separate names with a comma
Separate names with a comma
Include measures taken to ensure safety and protection
Separate names with a comma
Select all applicable

Print this form before hitting "Submit". Return to top right of page and press "Print" in order to print a copy of the Incident Report for your records.

View this site in another language: