Custody Case Interest Form
Our agency can be held on retainer for custodial cases. We will supervise visits at an additional rate and provide support as needed.
Client Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Client Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Noncustodial/Other Parent Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list names and ages of all children involved.
Please tell us more about how we can help -- hours of supervised visitation needed, basic facts of the case, anything you'd like for us to know before reaching out to you.
Submit
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