Personal Data Form And Social Study Information Sheet - Tarrant County Family Court Services Page 12
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16REFERENCES
Please list three people who have personally observed you and your child together and who know your
character. At least one of your references should be a non-family member. You may request your reference to
send us a written statement on your behalf. All written reference statements will be reviewed. The caseworker
may or may not contact references, at the caseworker’s sole discretion.
1. ____________________________________
______________________________
_______________________
NAME AND RELATIONSHIP
STREET ADDRESS
WORK PHONE #
______________________________
_______________________
CITY, STATE, ZIP
HOME PHONE #
2. _____________________________________
______________________________
_______________________
NAME AND RELATIONSHIP
STREET ADDRESS
WORK PHONE #
______________________________
_______________________
CITY, STATE, ZIP
HOME PHONE #
3. _____________________________________
______________________________
_______________________
NAME AND RELATIONSHIP
STREET ADDRESS
WORK PHONE #
______________________________
_______________________
CITY, STATE, ZIP
HOME PHONE #
COLLATERAL WITNESSES
Collateral witnesses must be brought to the attention of the caseworker. It is your responsibility to notify
the caseworker by completing this form if there are any collateral witnesses who need to be contacted.
Collateral witnesses are generally professionals who have factual information to provide in the case, such as
doctors, nurses, teachers, childcare providers, psychologists/counselors, etc. Collaterals may also include
persons who have relevant, significant information about you, the child/ren, or the other party to this suit, such
as ex-spouses, adult children, neighbors, etc.; however this generally does not include family and friends,
except as noted. If this is a final social study and you provide the name, address, phone number and a brief
description of the relevant information the collateral should provide, the case worker will contact the collateral,
either in writing or by telephone. If this is a temporary social study, the caseworker will contact collaterals to
the extent time will permit.
COLLATERAL WITNESS INFORMATION:
NAME
ADDRESS
PHONE
BRIEF DESCRIPTION OF RELEVANCE
1.__________________________ ________________________ _______________ ______________________________
___________________________ ________________________ _______________ ______________________________
2.__________________________ ________________________ _______________ ______________________________
___________________________ ________________________ _______________ ______________________________
3.__________________________ ________________________ _______________ ______________________________
___________________________ ________________________ _______________ ______________________________
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