Ex Parte Motion For Temporary Custody

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NO. _________________________
PETITIONER:
IN THE DISTRICT COURT
JUDICIAL DISTRICT
DEFENDANT:
{COUNTY, STATE}
Ex Parte Motion for Temporary Custody
I, the
, hereby request immediate temporary custody
for the following children:
Name:
DOB:
Name:
DOB:
Name:
DOB:
Name:
DOB:
I certify and attest that I am the child’s
The reason for my request is:
Signature
Date

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