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Refer A Child To Our Program

When a child is referred to our program for a CASA Volunteer, the Juvenile Dependency Judge reviews every referral submitted. The Judge will then officially sign off on the referral. The appointment process of a CASA Volunteer can then begin.

Who Can Make a Referral?

  • County Social Workers
  • Foster Family Agency Social Workers
  • Attorneys
  • Counselors
  • Foster Parents
  • ​​​​​​School Personnel
  • Family Members of the Child
  • Other Professional Parties involved in the Case.


Please Note- the request for a CASA volunteer must be made through our "Request for a CASA" Form.

To download a copy of the referral form please click on the image below, or contact the CASA Office at (209)722-2272. It can be easily sent through fax, email, or picked up at our office. 

You may also have a copy of the form send directly to you. Inquire below:

Send form via:

Please submit completed form one of four ways

1. In-person at the CASA office (2824 Park Ave., Merced, CA  95348.  2. By mail: PO Box 2362 Merced, CA 95344  

3. By fax: (209) 722-2270  4. By email:  ksmith@mercedcasa.org 

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