Follow the steps to complete the IN 54204 complaint form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in your name and county in the complainant information section. This information will be kept confidential.
3. Provide your full address, including street number, city, state, and ZIP code. Ensure your email address is accurate for correspondence.
4. Enter your telephone numbers. Include any alternative number if applicable.
5. In the relationship to the child(ren) section, specify your connection, such as 'parent' or 'guardian'.
6. Fill out the agency information by indicating the county where the agency is located and the name of the Family Case Manager or other involved staff.
7. Select the type of case from the provided options, such as 'Assessment / Investigation' or 'Ongoing case / CHINS'.
8. List the names and dates of birth of the child(ren) involved, ensuring accuracy for each entry.
9. Provide details regarding other adults involved, including their relationships to the children and their dates of birth.
10. Briefly describe your complaint, detailing DCS actions or inactions that prompted your concerns.
11. Indicate the specific policy, rule, or law you believe DCS did not follow.
12. List the steps you have taken thus far to resolve your concern before filing this complaint.
13. If applicable, mention any pending court actions or administrative reviews and describe the status.
14. Describe what you would consider a reasonable resolution to your complaint.
15. Determine whether you allow your name to be used when discussing your complaint with DCS. Select 'Yes' or 'No' and ensure you understand the implications.
16. Finally, provide your signature and the date signed, then ensure your printed name is included.
17. Review all the information you have entered for accuracy. Once confirmed, save changes, download, print, or share the completed form as necessary.

Ensure your voice is heard — complete the IN 54204 complaint form online today.