>>Link to printable Custody Investigation Intake Form
| Date | |
| Name of Child(ren) | |
| Name of Parents | |
| Current address of Child | |
| Phone numbers of Parents | |
| Date of last hearing | |
| Date of next hearing | |
| Briefly describe the situation |
|
| Is Child Protective Services involved? | |
| What are the court’s concerns about custody? | |
| What are the parents’ concerns about custody? | |
| Does either parent have a criminal history? | |
| Please explain |
|
| Has either parent been investigated by Child Protective Services? | |
| Please explain |
|
| When are the parents available to meet? | |
| When are the parents available to talk on the phone? | |
| How did you hear about us? |
