Letter Of Intent Template Disability Minor And Legal Matters

Letter of Intent

Template

Date written/revised:

Address the letter to whomever you wish:

General Information

Full name of child:

Are there any other names you or your child have used throughout his or her lifetime

under which your child’s information may be listed or records might be kept?

Current address and phone number:

Child’s former addresses and phone numbers:

Date of birth:

Social security number:

Diagnosis of Individual with Disability:

Family Social Security Numbers:

Mother:

Father:

Siblings (if needed):

Two people who know the most information about the child:

Name, address and phone number

Miscellaneous Information

Stepparents (current or previous):

Former Spouses:

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Parent category: Letters