JV-121State (JC)Fillable

Failure To Protect (§ 300 (b))

Judicial Council of California · Juvenile

Verified current as of July 31, 2026

This form documents allegations that a parent or guardian failed to protect a child from abuse or neglect, which is grounds for the court to take custody of the child. Child protective services workers, social workers, and attorneys use this form to initiate or support dependency cases when a child's safety is at risk due to parental failure to protect.

This form has fillable fields — you can complete it directly in the viewer on the right.
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