Child Custody Application Form

Child custody applications are a process you must follow if you wish to fight for custody of your child in the courtroom. Fill out this Child Custody Application Form.

Questions for Child Custody Application Form

1.

Name

The answer should be a text input.
2.

Date of Birth

The answer should be a date input.
3.

Address

The answer should be a text input.
4.

City

The answer should be a text input.
5.

State/country

The answer should be a country.
6.

Zipcode

The answer should be a number input.
7.

Phone Number

The answer should be a phone number.
8.

Email

The answer should be a email input.
9.

Type of incident

The answer should be a single choice:
  1. Violation of court order
  2. Child custody
  3. Others
10.

Custody/Visitation Court Order

The answer should be a text input.
11.

Judge

The answer should be a text input.
12.

Child(ren) Name and birth dates

The answer should be a text input.
13.

Relationship to child

The answer should be a single choice:
  1. Father
  2. Mother
  3. Grandparents
  4. Guardian
14.

The relationship between the involved party and myself is

The answer should be a single choice:
  1. Separated
  2. Divorced
  3. Child in Common
  4. Grandparents/guardian
15.

Provide a brief explanation of how the other parents/guardian refused to allow visitations, and/or steps you took to get your visitation; was your last contact with the other parent/guardian

The answer should be a text input.
16.

Date

The answer should be a date input.
17.

Signature

The answer should be a signature.

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