1st Visit Form ... Welcome!
Custodian
Custodial Parent/Guardian + Children
*
Names + Ages of your Children
*
Client
Name
*
Cell Phone Number
*
-
Email
*
Address
*
Court
Case Number
Judge
*
County
Your Attorney's Name
Your Attorney's Telephone
-
Your Attorney's Email
Opposing Attorney's Name
Opposing Attorney's Telephone
-
Opposing Attorney's Email
Public Defender Name
Is There a Restraining Order?
Yes
No
If Yes, Against Whom?
Mother
Father
Mutual
Visit
Visitation Time
*
Payment Responsibility
*
Are Third Parties Permissible?
*
Yes
No
If yes, Who?
Visitation Location(s)
Home
Community
Both
Submit
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