Child Custody Discharge Form
Please complete this form to discharge child custody.
Full Name of Parent/Guardian
*
First Name
Last Name
Full Name of Child
*
First Name
Last Name
Date of Birth of Child
*
-
Month
-
Day
Year
Date
Reason for Custody Discharge
*
Date of Custody Discharge
*
-
Month
-
Day
Year
Date
Signature of Parent/Guardian
*
Submit
Should be Empty: