Report of Suspected Abuse and Neglect

An oral report must be made immediately to Child Welfare Services, Montgomery County Department of Health and Human Services (DHHS), (commonly known as Child Protective Services (CPS)), at 240-777-4417. For vulnerable adults, call Adult Protective Services (APS), at 240-777-3000. If this is an emergency, call 911 immediately. For suspicions of abuse or neglect involving sexual assault, call the Emergency Communications Center (ECC) at 240-683-1600. Complete and submit this written report within 48 hours. IF THERE IS DOUBT ABOUT WHETHER TO REPORT ABUSE OR NEGLECT, ALWAYS ERR IN FAVOR OF MAKING THE REPORT.

MCPS employees, contractors, or volunteers may not interrogate or collect written statements from any alleged victim, witness, or offender

Report of Suspected Abuse and Neglect	98 K	English
Reporte de Sospecha de Abuso y Negligencia	79 K	Spanish
Rapport de Cas Présumé de Maltraitance et de Négligence	119 K	French
Báo Cáo Nghi Ngờ Bạo Hành và Bỏ Bê	132 K	Vietnamese
舉報疑似虐待和忽視的事件	230 K	Chinese
의심되는 아동 학대와 방치 신고서	116 K	Korean
የተጠረጠረን በደል እና ቸል የመባል/ተገቢውን እንክብካቤን ያለማግኘት ሁኔታ ሪፖርት	83 K	Amharic

Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat