Custody Questionnaire

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CUSTODY QUESTIONNAIRE
CHILDREN
First, middle, last name, age, Date of birth, Social Security number , current address
____________________________________________________________________________
_____________________________________________________________________________
First, middle, last name, age, date of birth, Social Security number , current address
____________________________________________________________________________
_____________________________________________________________________________
First, middle, last name, age, date of birth, Social Security number , current address
____________________________________________________________________________
_____________________________________________________________________________
Addresses of children in the last five years: __________________________________________
What are your custody/parenting time wishes?________________________________________
_____________________________________________________________________________
Current Custody Order in place? What type? Order of Filiation, Temporary Order, Judgment of
Divorce, nothing,? ______________________________________________________________
_____________________________________________________________________________
When was the Order entered with the Court? _______________________________________
What county is the Order out of? ________________________________________________
What is the current custody situation? Joint legal, primary
physical?_____________________________________________________________________
_____________________________________________________________________________
What is the Court ordered parenting time for the non-custodial parent?____________________
_____________________________________________________________________________
Is parenting time exercised on a regular basis?________________________________________
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