Suit Affecting Parent-Child Relationship
SAPCR
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CLIENT'S INFORMATION
Client's Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Mother's Information
Mother of Children
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First Name
Middle Name
Last Name
Maiden Name (if Applicable)
*
Type N/A if not applicable
Date of Birth
*
-
Month
-
Day
Year
Date
Place of Birth (City, State or Country)
*
Social Security Number
*
Type N/A if not applicable
Driver's License Number & State
*
Type N/A if not applicable
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Father's Information
Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Place of Birth (City, State or Country)
*
Type N/A if unknown
Social Security Number
*
Type N/A if unknown
Driver's License Number & State
*
Type N/A if unknown
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
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Next
Child/Children Affected by this Court Action
Child 1's Full Name
*
First Name
Middle Name
Last Name
Sex
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Male
Female
Social Security Number
*
Date of Birth
*
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Month
-
Day
Year
Date
Place of Birth (City & State)
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Child lives with:
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Mother
Father
Both
Other
Child 2's Full Name
First Name
Middle Name
Last Name
Sex
Male
Female
Social Security Number
Date of Birth
-
Month
-
Day
Year
Date
Place of Birth (City & State)
Child lives with:
Mother
Father
Both
Other
Back
Next
If you are NOT the Biological or Adoptive Parent of this/these child/children, what is your relationship to them?
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Type N/A if not applicable
Reason for seeking possession of child/children?
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Has either parent of the child/children had parental rights terminated? If so, which parent?
Type N/A if not applicable
How old was the mother at the time the oldest child was conceived?
Type N/A if no applicable
How old was the father at the time the oldest child was conceived?
Type N/A if no applicable
How long have the children been living with you?
Type N/A if no applicable
Has there ever been a Court Order involving this/these child/children?
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Yes
No
I don't know
If yes, please state when, where, and the case number.
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Type N/A if no applicable
Has this/these child/children ever been involved with the Texas Attorney General?
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Yes
No
I don't know
Have you ever received financial assistance from Texas or any state to help raise this/these child/children?
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Yes
No
Has the other parent every received financial assistance from Texas or any other state to help raise this/these child/children?
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Yes
No
I don't know
Are you in the Military?
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Yes
No
Is the mother of this/these children in the military?
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Yes
No
Is the father of this/these children in the military?
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Yes
No
Do you have any objection to Associate Judge hearing?
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Yes
No
Was an acknowledgement of Paternity signed?
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Yes
No
I don't know
Has any man filed an intent to claim Paternity on this/these child/children?
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Yes
No
I don't know
Does this/ do these child/children own an property?
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Yes
No
Does this/do these child/children have any physical or mental disability?
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Yes
No
Has any person seeking custody/visitation of this/these children ever been accused of or committed acts of family violence? If yes, please explain:
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Type N/A if no applicable
Has any person seeking custody/visitation of this/these children been guilty of child neglect or abuse? If yes, please explain:
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Type N/A if no applicable
Do you currently have health insurance on this/these child/children?
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Yes
No
What is the cost of insuring just the child/children? Please ask your human resources person to write up a letter showing just the cost for the children's insurance.
Type N/A if no applicable
Have you been served with court papers?
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Yes
No
Do you have a Court Date? If so, when?
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Type N/A if no applicable
Submit
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