Child Protective Services (CPS) Referral Form Instructions

This form shall be used as formal documentation when APS Central Intake forwards a referral to Child Protective Services for investigation.

Criteria for Forwarding to CPS

Abuse of any person under 18 years of age.

Child Abuse is Defined As

  • Physical injury or death inflicted upon a child by a parent or caretaker thereof by other than accidental means; provided, however, that physical forms of discipline may be used as long as there is no physical injury to the child;

  • Neglect or exploitation of a child by a parent or caretaker thereof;

  • Sexual abuse of a child; or

  • Sexual exploitation of a child.

§O.C.G.A. 19-7-5 (a)(4)