Juvenile
JV-122: Serious Emotional Damage (§ 300 (c))
Fillable PDFJudicial Council of California
This form documents and evaluates whether a child has suffered serious emotional damage as evidence in a child welfare case. Judges, social workers, and attorneys use it to determine if a child needs protection or removal from their home under California law.
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Forms that go with JV-122
JV-505RequiredStatement Regarding Parentage (Juvenile)The Statement Regarding Parentage (JV-505) is required to establish or address parentage of the child, which is a critical threshold issue often resolved at or before the jurisdiction/disposition hearing.›JV-100AttachmentPetition - DependencyThe Juvenile Dependency Petition (JV-100) is the primary petition form used to initiate a dependency case under § 300, and JV-122 is filed as a specific allegation attachment to it.›JV-140Often filed with itNotification of Mailing AddressThe Notification of Mailing Address (JV-140) is commonly filed alongside dependency petition documents to ensure all parties receive proper notice of proceedings.›JV-180Often filed with itRequest to Change Court OrderThe Application to Commence Proceedings (JV-180) may be filed together when initiating a § 300 dependency case to establish the basis for court jurisdiction over the child.›JV-290Next stepCaregiver Information FormThe Notice of Hearing — Juvenile (JV-290) is typically the next form issued after the petition and attachments are filed, scheduling the initial detention or jurisdictional hearing.›