Get In 54204 2022-2026

The IN 54204 form is a complaint form used to address concerns regarding the Department of Child Services. Completing this form online can help streamline the process of filing a complaint. This guide provides step-by-step instructions to assist you in filling out the form accurately and effectively.

Follow the steps to complete your complaint form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing your personal information in the Complainant Information section. This includes your name, county, address, email address, and telephone numbers. Ensure that all details are entered accurately to maintain confidentiality.
3. In the Agency Information section, fill in the county where the agency is located, the name of the Family Case Manager, Supervisor, or other involved staff, and specify the type of case, such as assessment, ongoing case, or adoption.
4. Provide the Child/Children Information by including their names and dates of birth. Also, indicate the person with whom the child resides.
5. If there are other adults involved, complete the Information on Other Adults Involved section by entering their dates of birth, relationships to the child, and any relevant details.
6. In the complaint description section, include a brief overview of your complaint, detailing the actions or inactions by DCS that you believe failed to protect the child. Also, specify any policies, rules, or laws you believe may not have been followed.
7. List the steps you have taken to resolve your complaint thus far and indicate if there is any pending court action or administrative review regarding this matter.
8. Finally, describe what you would consider a reasonable resolution to your complaint. Ensure you check the permission statement regarding the use of your name when discussing the complaint with DCS.
9. Sign and date the form before submission. Make sure to keep a copy for your records.
10. Save your changes and choose to download, print, or share the form as needed.

Complete your complaint form online today to ensure your concerns are addressed promptly.