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Serious Emotional Damage (§ 300 (c))

California · Judicial Council of California · Effective January 1, 2007

This form is used by a social worker to tell the court what they think is putting a child at risk of serious emotional harm. It describes the type of harm and the reason for the risk.

The court describes it as: The social worker uses this to tell the court what they believe puts a child at risk of serious emotional harm.

Open the official PDFfrom Judicial Council of California

Where this fits in a case

Motions

Stage: Motions

This form is used when a social worker needs to tell the court that a child might suffer serious emotional harm because of the actions of a parent or guardian, or because the child has no parent or guardian who can provide proper care.

Prepared by the court or clerk.

Official instructions

How-to guides published by the court for this form.

Common questions

Who fills out this form?
The social worker uses this form. It is noted as a form approved for optional use.
What does this form ask the court about?
It asks the court to consider if a child is suffering, or is at risk of suffering, serious emotional damage. This damage can be shown by things like severe anxiety or depression.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2007.

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