LASC-JUV-041Local

Report Of Child's Injuries Pursuant To WIC 317, Subdivision (e

Los Angeles Superior Court · Juvenile

Last updated June 22, 2026

Used by a dependency child's court-appointed attorney to report investigation findings about the child's injuries to the juvenile dependency court, so the judge can decide whether further legal action is needed.

This form must be printed and filled by hand, or opened in Adobe Acrobat.
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