Intake Forms

Residents of Los Angeles County or those with a dependency and/or delinquency case in Los Angeles County. The Intake department is open Monday through Friday, 9 a.m. – 5 p.m.:

The General Intake Form is for the general public to request assistance with cases of children/youth in out of home care in Los Angeles County. You can also call 213.368.6010 for assistance.

Legal, Medical, or Education professionals, use the appropriate form below to submit your referral:

Minor’s Attorney Dependency/Delinquency Referral Form
A form for Minor’s Dependency Attorneys and Delinquency Attorneys to request assistance with cases in the Dependency and/or Delinquency court systems in Los Angeles County.

Medical Legal Partnership Referral Form
A form for medical personnel participants from partnership clinics (e.g. CHLA, LAC+USC, Harbor, MLK) requesting assistance from the Alliance.

Court Education Partner Program Referral Form
A form for participants of the Education Program’s court partnership programs, including partners in the Inglewood Delinquency Court, DREAM court, and STAR court.

School District Referral Form
A form for staff from school districts to refer general education cases to the Alliance for Children’s Rights. (e.g., retrieving partial credits from a prior school district, facilitating school of origin between two districts and DCFS).